Indiana Regional Sleep Disorder Center, Inc

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

036-119770 Issued in IL

Legal business name

INDIANA REGIONAL SLEEP DISORDER CENTER, INC

Practice address

2850 S Wabash Ave
Chicago, IL 60616-2955

Phone

(219) 944-4187

Fax

(219) 944-4196

NPI assigned

Dec 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olusegun Apata, MD

Title

Physician/Owner

Phone

(219) 944-4187

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Illiana Sleep Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1396981460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 86TH AVE",
            "address_2": "PO BOX 10645",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106382",
            "telephone_number": "219-769-1670",
            "fax_number": "219-738-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "219-944-4187",
            "fax_number": "219-944-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL SLEEP DISORDER CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "APATA",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "219-944-4187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-119770",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036119770",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036-119770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "036-119770",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illiana Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Sleep Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.