Organization Active NPI

Digitrace Care Services, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Orland Park, IL
National Provider Identifier
1659383453
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DIGITRACE CARE SERVICES, INC
Practice address
9611 165TH St
11B
Orland Park, IL 60467-5654
Phone
(708) 873-0578
Fax
(708) 873-0615
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mr. Carl R. Iberger
Title
Evp Cfo
Phone
(978) 536-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

9611 165TH St
11B
Orland Park, IL 60467-5654

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

National Provider Directory

National Provider Directory

Locations

8651 W 159th St
Ste 2
Orland Park, IL 60462
Phone (847) 966-7366

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1659383453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "11B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-873-0578",
            "fax_number": "708-873-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EVP CFO",
        "authorized_official_telephone_number": "978-536-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.