Organization Active NPI

Home Sleep Diagnostics

Doing business as Sleep Diagnostic Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Chicago, IL
National Provider Identifier
1881707891
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
HOME SLEEP DIAGNOSTICS
Doing business as
Sleep Diagnostic Center
Practice address
2522 W Peterson Ave
Chicago, IL 60659-4109
Phone
(773) 262-4110
Fax
(773) 784-0701
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Mrs. Ahuva Elana Shabat
Title
President
Phone
(773) 262-4110

Specialties & licenses 1

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

Addresses

Primary practice location

2522 W Peterson Ave
Chicago, IL 60659-4109

Mailing address

2522 W Peterson Ave
Chicago, IL 60659-4109
Phone (773) 262-4110

Other identifiers 1

IdentifierTypeStateIssuer
0001620869OtherILBCBS PROVIDER #

Other names 1

  • Sleep Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1881707891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594109",
            "telephone_number": "773-262-4110",
            "fax_number": "773-784-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594109",
            "telephone_number": "773-262-4110",
            "fax_number": "773-784-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "AHUVA",
        "authorized_official_middle_name": "ELANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-262-4110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001620869",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2007; 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.