NPIMap

Organization Active NPI

Midwest Pulmonary and Sleep Clinic, S.C.

  • Pulmonary Disease Physician
  • Schaumburg, IL
National Provider Identifier
1891725776
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036108121 Issued in IL
Legal business name
MIDWEST PULMONARY AND SLEEP CLINIC, S.C.
Practice address
802 E Woodfield Rd
Suite 200
Schaumburg, IL 60173-4712
Phone
(847) 240-9500
Fax
(847) 240-9501
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Nidal Sakka, M. D.
Title
President
Phone
(847) 240-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 036108121 IL Primary

Addresses

Primary practice location

802 E Woodfield Rd
Suite 200
Schaumburg, IL 60173-4712

Mailing address

802 E Woodfield Rd
Suite 200
Schaumburg, IL 60173-4712
Phone (847) 240-9500

Other identifiers 2

IdentifierTypeStateIssuer
036108121MedicaidIL
1635330OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1891725776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E WOODFIELD RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734712",
            "telephone_number": "847-240-9500",
            "fax_number": "847-240-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E WOODFIELD RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734712",
            "telephone_number": "847-240-9500",
            "fax_number": "847-240-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PULMONARY AND SLEEP CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SAKKA",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-240-9500",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036108121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108121",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1635330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.