NPIMap

Organization Active NPI

Illinois Sleep Institute, LLC

  • Physiological Laboratory
  • Marion, IL
National Provider Identifier
1912090523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ILLINOIS SLEEP INSTITUTE, LLC
Practice address
105 Airway Dr.
Ste. 3
Marion, IL 63959-5872
Phone
(618) 997-5500
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anita Hopkin
Title
Manager
Phone
(314) 645-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

105 Airway Dr.
Ste. 3
Marion, IL 63959-5872

Mailing address

105 Airway Dr.
Ste. 3
Marion, IL 63959-5872
Phone (618) 997-5500

National Provider Directory

National Provider Directory

Locations

105 Airway Dr
Ste 3
Marion, IL 62959
Phone (618) 993-5859

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912090523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AIRWAY DR.",
            "address_2": "STE. 3",
            "city": "MARION",
            "state": "IL",
            "postal_code": "639595872",
            "telephone_number": "618-997-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AIRWAY DR.",
            "address_2": "STE. 3",
            "city": "MARION",
            "state": "IL",
            "postal_code": "639595872",
            "telephone_number": "618-997-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SLEEP INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-645-5855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.