INDIANA REGIONAL SLEEP DISORDER CENTER, INC (NPI# 1396981460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396981460 |
| Entity Type | Organization |
| Organization Name | INDIANA REGIONAL SLEEP DISORDER CENTER, INC |
| Other Organization Name | ILLIANA SLEEP ASSOCIATES |
| Practice Address |
2850 S Wabash Ave Chicago IL 60616-2955 |
| Mailing Address |
55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 |
| Practice Telephone | 2199444187 |
| Practice Fax Number | 2199444196 |
| Mailing Telephone | 2197691670 |
| Mailing Fax Number | 2197386714 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | OLUSEGUN APATA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2199444187 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036-119770 | IL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036119770 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
036-119770 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 036-119770 | 01 |
| Other Name | Type Code |
|---|---|
| Illiana Sleep Associates | Doing Business As Name - Organization |
| Street Address |
2850 S WABASH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998194 | Johnnie Lewis | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2491 | 2005-11-07 |
| 1073979761 | Southeast Chicago Neurology Associates Sc | Psychiatry & Neurology | 2850 S Wabash Ave, Suite 102, Chicago, IL 60616-2955 | 2016-01-11 |
| 1245542356 | Pef Clinic II Ltd | Internal Medicine | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2010-07-06 |
| 1235384801 | Johnnie Lewis D.p.m P.c | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2955 | 2008-11-24 |
| 1790931095 | The Thresholds | Community/Behavioral Health | 2850 S Wabash Ave, Chicago, IL 60616-2955 | 2008-08-18 |
| 1669641478 | Apogee Health Partners, Inc. | Exclusive Provider Organization | 2850 S Wabash Ave, Suite 202, Chicago, IL 60616-2955 | 2008-02-26 |
| 1467654913 | Margaret Bowden | Registered Nurse | 2850 S Wabash Ave, Suite 100, Chicago, IL 60616-2955 | 2007-06-05 |
| 1174747596 | Milton Chandler II | Naprapath | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2007-04-13 |
| 1912025776 | Global Sleep Centers Inc | Clinic/Center | 2850 S Wabash Ave, Suite #102, Chicago, IL 60616-2955 | 2007-03-27 |
| 1952439119 | Prairie Medical Associates | Obstetrics & Gynecology | 2850 S Wabash Ave, Ste 106, Chicago, IL 60616-2955 | 2007-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
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| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist 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 |
|---|---|---|---|---|
| 1861755498 | Abigail Denise Doyle | Internal Medicine | 5841 S Maryland Ave # 6026, Chicago, IL 60637 | 2012-06-19 |
| 1558584391 | Mehbub S Kapadia | Internal Medicine | 2745 W Devon Ave, Chicago, IL 60659-1712 | 2007-04-10 |
| 1649527276 | Paul Poncza, Dds, PC | Internal Medicine | 1350 W Belmont Ave, Suite 1, Chicago, IL 60657-3245 | 2012-08-14 |
| 1841585775 | Mukesh K Ahluwalia PC | Internal Medicine | 5600 W Addison St, Suite 306, Chicago, IL 60634-4401 | 2011-06-20 |
| 1710208541 | Jennifer Danielle Butler | Internal Medicine | 5841 S Maryland Ave, M/c 6026, Chicago, IL 60637-1447 | 2010-06-16 |
| 1629206438 | Sushmita Pamidi | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776954 | Almusaddy Medical Inc | Internal Medicine | 500 N Mclean Blvd, Elgin, IL 60123-3275 | 2020-03-24 |
| 1205292281 | Mjm Medical Corp | Internal Medicine | 5696 Heidi Dr, Rockford, IL 61109-1768 | 2016-01-07 |
| 1720470115 | Chicago Pulmonary and Sleep Disorders Institute Ltd | Internal Medicine | 1742 S La Londe Ave, Lombard, IL 60148-3537 | 2015-02-23 |
| 1467717561 | Syed A Sayeeduddin | Internal Medicine | 8900 31st St Unit 6, Brookfield, IL 60513-1473 | 2012-07-05 |
| 1689800443 | Esteban Linarez Sleep, LLC | Internal Medicine | 850 W. Madison Street, Suite A, Oak Park, IL 60302-1632 | 2009-06-08 |
| 1689742272 | Advance Sleep Solutions and Diagnostics Inc | Internal Medicine | 820 F Terra Cotta Ave, Unit 216, Crystal Lake, IL 60014 | 2006-12-01 |
| 1659443968 | Chest Diseases & Sleep Disorders Sc | Internal Medicine | 15 Tower Ct Ste 140, Gurnee, IL 60031-3338 | 2006-11-14 |
| 1871547414 | St Joseph Medical Center | Internal Medicine | 302 Saint Joseph Dr, Bloomington, IL 61701-3506 | 2006-05-19 |
| 1407845019 | Pulmonary and Critical Care Consultants, S.c. | Internal Medicine | 11900 Southwest Hwy, Palos Park, IL 60464-1200 | 2005-10-17 |
| 1356951180 | Us Tele Sleep LLC | Internal Medicine | 1755 Park St Ste 200, Naperville, IL 60563-8404 | 2020-08-06 |
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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.