NPIMap

Organization Active NPI

Ottawa Regional Cardinal Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Ottawa, IL
National Provider Identifier
1861799215
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC
Practice address
1601 Mercury CT Ste 2
Ottawa, IL 61350-9333
Phone
(815) 433-3100
Fax
(815) 431-5500
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. Robert A Chaffin
Title
President
Phone
(815) 431-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1601 Mercury CT Ste 2
Ottawa, IL 61350-9333

Mailing address

1601 Mercury CT Ste 2
Ottawa, IL 61350-9333
Phone (815) 433-3100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1861799215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MERCURY CT STE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509333",
            "telephone_number": "815-433-3100",
            "fax_number": "815-431-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MERCURY CT STE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509333",
            "telephone_number": "815-433-3100",
            "fax_number": "815-431-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC.",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-431-5456",
        "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 Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.