ADVANCED SLEEP INSTITUTE LLC (NPI# 1184969420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184969420 |
| Entity Type | Organization |
| Organization Name | ADVANCED SLEEP INSTITUTE LLC |
| Practice Address |
2731 West Main Suite C Carbondale IL 62901-1000 |
| Mailing Address |
Po Box 459 Carbondale IL 62903-0459 |
| Practice Telephone | 6185199999 |
| Mailing Telephone | 6183559970 |
| Mailing Fax Number | 6183559972 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-04-16 |
| Authorized Official Name | RACHEL SHELTON (FACILITY MANAGER) |
| Authorized Official Telephone | 6185496378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036101704 | 05 |
| Street Address |
2731 WEST MAIN SUITE C |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255784 | Portable Sleep Solutions LLC | Clinic/Center | 820 Sw Adams St, Peoria, IL 61602-1623 | 2019-06-22 |
| 1053977017 | Mrb Healthcare Services LLC | Clinic/Center | 5633 Lee St, Morton Grove, IL 60053-3116 | 2019-05-15 |
| 1225548753 | St Elizabeths Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 791 Wall St Ste 200, O Fallon, IL 62269-2087 | 2017-10-11 |
| 1760740278 | Future Sleep Solutions | Clinic/Center | 7392 Clem Dr, Gurnee, IL 60031-5193 | 2012-05-03 |
| 1437424389 | Mobile Medical Monitors, LLC | Clinic/Center | 1804 S 27th St, Herrin, IL 62948-4439 | 2012-03-11 |
| 1124316906 | Sleep Study Professionals LLC | Clinic/Center | 1901 Appaloosa Dr, Naperville, IL 60565-6714 | 2011-07-14 |
| 1962794222 | Sleep Diagnostics Ltd. | Clinic/Center | 205 W Grand Ave, Unit #104, Bensenville, IL 60106-3364 | 2011-05-05 |
| 1861799215 | Ottawa Regional Cardinal Sleep Center, LLC | Clinic/Center | 1601 Mercury Ct Ste 2, Ottawa, IL 61350-9333 | 2011-02-22 |
| 1164736005 | Village Sleep Center Inc | Clinic/Center | 1100 Lake St Ste Ll40, Oak Park, IL 60301-1066 | 2010-08-03 |
| 1598085706 | Sound Sleep Center Inc | Clinic/Center | 1600 S. Torrence Avenue, Lower Level, Calumet City, IL 60409-5430 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.