Joliet Sleep Center Inc

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

JOLIET SLEEP CENTER INC

Practice address

2000 Glenwood Ave
109
Joliet, IL 60435-5676

Phone

(815) 729-0111

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Padmaja Nannapaneni

Title

Billing Manager

Phone

(630) 887-1262

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Special Home Health Care LLC

  • Home Health Agency
  • Palos Heights, IL
  • NPI 1699343129

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Ahmad K Agha, M.D.

  • Pulmonary Disease Physician
  • Morris, IL
  • NPI 1376592717
  NPD (past)

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1881920593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 WOODLAND LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903274",
            "telephone_number": "630-887-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLENWOOD AVE",
            "address_2": "109",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355676",
            "telephone_number": "815-729-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "NANNAPANENI",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-887-1262"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joliet Pediatrics and Family Care Inc
• Joliet Professional Pharmacy Corp.
• Joliet Radiological Service Corp
• Joliet School District 86
• Joliet Skilled Nursing Facility LLC
• Joliet Smile World Dental Center, Inc.
• Joliet Surgery Center Limited Partnership
• Joliet Surgical Facility
• Joliet Surgicare, P.C.
• Joliet Terrace Operator LLC

• Sleep Medicine (Internal Medicine) Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Sleep Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.