Northwest Sleep Provider Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.001092 Issued in IL

Legal business name

NORTHWEST SLEEP PROVIDER INC.

Practice address

2634 Grand Ave
Suite 107
Waukegan, IL 60085-2458

Phone

(847) 508-4135

Fax

(847) 244-2727

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Muhammad Naved, RPSGT

Title

Clinical Director / Account Manager

Phone

(847) 508-4135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1497085906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 GRAND AVE",
            "address_2": "SUITE 107",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852458",
            "telephone_number": "847-508-4135",
            "fax_number": "847-244-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 GRAND AVE",
            "address_2": "SUITE 107",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852458",
            "telephone_number": "847-508-4135",
            "fax_number": "847-244-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SLEEP PROVIDER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "NAVED",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / ACCOUNT MANAGER",
        "authorized_official_telephone_number": "847-508-4135",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.001092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.