MEDICARE: MIDWEST PULMONARY CRITICAL CARE & SLEEP CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	IL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	IL
3	2085R0202X	Diagnostic Radiology Physician
4	207R00000X	Internal Medicine Physician	IL
5	207RP1001X	Pulmonary Disease Physician	IL

General Provider Information

NPI Number	:	1467951095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST PULMONARY CRITICAL CARE & SLEEP CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	3845 MCCOY DR STE 101
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-4429
Country	:	US
Telephone Number	:	630-952-1412
Fax Number	:	773-635-5757

Provider Business Practice Location Address
First Line	:	12820 S RIDGELAND AVE STE B
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-2389
Country	:	US
Telephone Number	:	708-371-8006
Fax Number	:	708-389-6630

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. ANAS NAHHAS
Credential	:	MD
Telephone Number	:	708-927-0026

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	04/13/2026

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