Active NPI
Elston Management Corporation
- Sleep Disorder Diagnostic Clinic/Center
- Chicago, IL
National Provider Identifier
1700194180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- ELSTON MANAGEMENT CORPORATION
- Practice address
- 4592 N Elston Ave
Chicago, IL 60630-4215 - Phone
- (773) 205-7409
- NPI assigned
- Sep 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Dorn
- Title
- President
- Phone
- (773) 205-7409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
4592 N Elston Ave
Chicago, IL 60630-4215
Mailing address
4592 N Elston Ave
Chicago, IL 60630-4215
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284854400000",
"number": "1700194180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4592 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606304215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4592 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606304215",
"telephone_number": "773-205-7409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELSTON MANAGEMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-19",
"last_updated": "2010-09-19",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-205-7409",
"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 Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.