Sleep Medicine Specialists LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

04196007 Issued in IL

Legal business name

SLEEP MEDICINE SPECIALISTS LLC

Practice address

581 William Latham Dr
Suite 302
Bourbonnais, IL 60914-2317

Phone

(630) 750-8934

Fax

(866) 662-2139

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Olona

Title

President

Phone

(630) 750-8934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1861733792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 WILLIAM LATHAM DR",
            "address_2": "SUITE 302",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142317",
            "telephone_number": "630-750-8934",
            "fax_number": "866-662-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 WILLIAM LATHAM DR",
            "address_2": "SUITE 302",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142317",
            "telephone_number": "630-750-8934",
            "fax_number": "866-662-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "OLONA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-750-8934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "04196007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Sirvinskas, NP
• Kasey Six
• Gina Skoumal, DT
• Jaclyn Mae Skrobot, MS, ATC
• Edward Irwin Slaby, DDS
• Judita Slusnys, APN
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• Molly Morgan Smith, FNP
• Victoria Smith
• Madalyn E Snyder, DMD

• Sleep Disorder Diagnostic Clinic/Center in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.