Organization Active NPI

Advanced Center for Sleep Disorders LLC

  • Neurological Surgery Physician
  • Lombard, IL
National Provider Identifier
1710489497
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036125798 Issued in IL
Legal business name
ADVANCED CENTER FOR SLEEP DISORDERS LLC
Practice address
2500 S Highland Ave
Lombard, IL 60148-5363
Phone
(630) 495-9826
NPI assigned
Mar 8, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Anjana Nair, MD
Title
Provider
Phone
(630) 495-9826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036125798 IL Primary

Addresses

Primary practice location

2500 S Highland Ave
Lombard, IL 60148-5363

Mailing address

2500 S Highland Ave Ste 325
Lombard, IL 60148-5390

Other identifiers 1

IdentifierTypeStateIssuer
1609079219OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1710489497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 325",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485363",
            "telephone_number": "630-495-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR SLEEP DISORDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "630-495-9826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036125798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609079219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.