Organization Active NPI

Northern Illinois Sleep Center, S.C

  • Sleep Disorder Diagnostic Clinic/Center
  • Sycamore, IL
National Provider Identifier
1952541922
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
036081657 Issued in IL
Legal business name
NORTHERN ILLINOIS SLEEP CENTER, S.C
Practice address
1958 Aberdeen CT
Suite 2
Sycamore, IL 60178-3175
Phone
(815) 787-7997
Fax
(815) 316-7897
NPI assigned
Mar 3, 2009
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Vivek Thappa, M.D.
Title
Physician
Phone
(815) 316-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 036081657 IL Primary

Addresses

Primary practice location

1958 Aberdeen CT
Suite 2
Sycamore, IL 60178-3175

Mailing address

PO Box 5023
Rockford, IL 61125-0023
Phone (815) 316-1899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1952541922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5023",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611250023",
            "telephone_number": "815-316-1899",
            "fax_number": "815-316-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 ABERDEEN CT",
            "address_2": "SUITE 2",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783175",
            "telephone_number": "815-787-7997",
            "fax_number": "815-316-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS SLEEP CENTER, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "THAPPA",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-316-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "036081657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.