S I Neurology & Sleep Medicine LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036101704 Issued in IL

Legal business name

S I NEUROLOGY & SLEEP MEDICINE LLC

Practice address

2731 West Main Street
Suite a
Carbondale, IL 62901

Phone

(618) 549-6378

Fax

(618) 529-2347

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Fakhre Alam, MDNPI 1427033828

Title

MD

Phone

(618) 549-6378

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fakhre Alam, MD

  • Neurology Physician
  • Carbondale, IL
  • NPI 1427033828
  Medicare reassignment NPD Authorized official
• Mark J Trelka, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1720005291
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1790875987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629030489",
            "telephone_number": "618-549-6378",
            "fax_number": "618-529-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 WEST MAIN STREET",
            "address_2": "SUITE A",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-549-6378",
            "fax_number": "618-529-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483757",
            "country_code": "US",
            "telephone_number": "618-998-0696",
            "fax_number": "618-998-0686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S I NEUROLOGY & SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "FAKHRE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "618-549-6378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036101704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101704",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubicon Healthcare Inc
• Christina Marie Rushing, D.T.
• Marsha G Ryan, M.D.
• Amanda M Ryden, MD
• Laurie R Ryznyk, PA-C
• Maryann Hanna Saba, MD
• Jeffrey Saddler
• Ayesha Saeed, MD
• Ashmeet Singh Sahni, MD
• Fatoumata Saidou Hangadoumbo, PHD, MPH, CHES

• Neurology Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.