NPIMap

Organization Active NPI

Advance Sleep Solutions and Diagnostics Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Crystal Lake, IL
National Provider Identifier
1689742272
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
036072630 Issued in IL
Legal business name
ADVANCE SLEEP SOLUTIONS AND DIAGNOSTICS INC
Practice address
820 F Terra Cotta Ave
Unit 216
Crystal Lake, IL 60014
Phone
(815) 455-1315
Fax
(815) 455-1316
NPI assigned
Dec 1, 2006
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Tanveer Ahmad, MDNPI 1093811374
Title
Owner
Phone
(815) 338-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 036072630 IL Primary

Addresses

Primary practice location

820 F Terra Cotta Ave
Unit 216
Crystal Lake, IL 60014

Mailing address

820 E Terra Cotta Ave
216
Crystal Lake, IL 60014-3649

Other identifiers 2

IdentifierTypeStateIssuer
036072630MedicaidIL
05600315OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1689742272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE",
            "address_2": "216",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 F TERRA COTTA AVE",
            "address_2": "UNIT 216",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-1315",
            "fax_number": "815-455-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SLEEP SOLUTIONS AND DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-338-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036072630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05600315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.