Organization Active NPI

Elston Management Corporation

  • Sleep Disorder Diagnostic Clinic/Center
  • Chicago, IL
National Provider Identifier
1700194180
Registry record updated Sep 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Sep 19, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.