Sleep Center of Central Illinois LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP CENTER OF CENTRAL ILLINOIS LLC

Practice address

2204 Eastland Dr
Suite 100
Bloomington, IL 61704-3567

Phone

(309) 662-1558

Fax

(309) 662-1390

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian J McDonald

Title

Director

Phone

(309) 663-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Joseph Medical Center

  • Interventional Cardiology Physician
  • Bloomington, IL
  • NPI 1881782878

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1407965130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 EASTLAND DRIVE",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-662-1558",
            "fax_number": "309-662-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EASTLAND DR",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043567",
            "telephone_number": "309-662-1558",
            "fax_number": "309-662-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTER OF CENTRAL ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-663-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5732085",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaysha Simpson, HIS
• Justine Sims, APN, CNM
• Ashish Singal, MD/PHD,MS,MBA,NREMT
• Alyssa Ann Skelton
• Thomas Lloyd Slattery, PSY.D.
• Sleep Solutions of Central Illinois
• Sleep Solutions of Central Illinois LLC
• Sarah Sleeter, MS, CCC-SLP
• Barry Slotky, MD
• Grace Mragret Slowikowski

• Sleep Disorder Diagnostic Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.