Southwest Institute for Sleep

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

SOUTHWEST INSTITUTE FOR SLEEP

Practice address

15640 N 7TH St
Suite 1
Phoenix, AZ 85022-3512

Phone

(602) 439-3800

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Haddar E Ichilov, P.T.

Title

Administrator

Phone

(602) 439-3800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1700030731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-439-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-439-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INSTITUTE FOR SLEEP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ICHILOV",
        "authorized_official_first_name": "HADDAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-439-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Human Development
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• Southwest in Home Services
• Southwest Independence, L.L.C.
• Southwest Integrated Health LLC
• Southwest Internal Medicine Group
• Southwest Kidney Davita Dialysis Partners LLC (Phoenix Dialysis Center)
• Southwest Kidney Davita Dialysis Partners LLC (Estrella Dialysis Center)
• Southwest Kidney Davita Dialysis Partners LLC (Maryvale Dialysis Center)

• Sleep Medicine (Family Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sleep Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.