Sleep and Behavior Medicine Institute

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

036-067800 Issued in IL

Legal business name

SLEEP AND BEHAVIOR MEDICINE INSTITUTE

Practice address

565 Lakeview Parkway
Suite 105
Vernon Hills, IL 60061-1840

Phone

(847) 984-6585

Fax

(847) 984-6586

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Z Golbin, MD

Title

Medical Director

Phone

(847) 984-6585

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1902962350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PARKWAY",
            "address_2": "SUITE 105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611840",
            "telephone_number": "847-984-6585",
            "fax_number": "847-984-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PARKWAY",
            "address_2": "SUITE 105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611840",
            "telephone_number": "847-984-6585",
            "fax_number": "847-984-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP AND BEHAVIOR MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "GOLBIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-984-6585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036067800",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "036-067800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31601717",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Vernon Hills, IL
• Providers in Vernon Hills, 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 May 13, 2013; 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.