SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC (NPI# 1053437038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053437038 |
| Entity Type | Organization |
| Organization Name | SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC |
| Practice Address |
#13 Cusumano Professional Plaza Drive Mt. Vernon IL 62864 |
| Mailing Address |
Po Box 504505 Saint Louis MO 63150-0001 |
| Practice Telephone | 6184366203 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. MARK CLARK (VICE PRESIDENT) |
| Authorized Official Telephone | 6184366203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
#13 CUSUMANO PROFESSIONAL PLAZA DRIVE |
| City | MT. VERNON |
| State | IL |
| Zip Code | 62864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689809907 | American Sleep Disorders Center, Ltd | Psychiatry & Neurology | 687 Anne Ln, Bolingbrook, IL 60440-4205 | 2009-05-18 |
| 1043479405 | Sabra Margaret Abbott | Psychiatry & Neurology | 676 N Saint Clair St Ste 7-701, Chicago, IL 60611-2927 | 2008-06-02 |
| 1861532608 | Sleep Medicine Associates, LLC. | Psychiatry & Neurology | 8305 Express Drive, Suite C, Marion, IL 62959 | 2007-02-08 |
| 1811085293 | Terry Michael Brown | Psychiatry & Neurology | 8305 Express Dr Ste C, Marion, IL 62959-7771 | 2006-10-10 |
| 1013009653 | Pradip Sethi | Psychiatry & Neurology | 40 North Airlite St, Suite 2, Elgin, IL 60123-4965 | 2006-09-29 |
| 1720501760 | Dedicated Sleep | Psychiatry & Neurology | 3451 Church St, Evanston, IL 60203-1621 | 2017-07-21 |
| 1023498730 | Margaret Park Md Sc | Psychiatry & Neurology | 444 N Michigan Ave, Suite 1200, Chicago, IL 60611-3903 | 2015-06-08 |
| 1649690827 | Reeti Greenwald | Psychiatry & Neurology | 25 N Winfield Rd Ste 204, Winfield, IL 60190-1379 | 2014-04-25 |
| 1619951860 | Neuropsychiatric Evaluation and Treatment Center | Psychiatry & Neurology | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2005-12-01 |
| City | MT. VERNON |
| Zip Code | 62864 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.