Healthcare Provider Details

I. General information

NPI: 1861729980
Provider Name (Legal Business Name): ALTERNATIVE SLEEP HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 N MAIN ST
ALGONQUIN IL
60102-3482
US

IV. Provider business mailing address

1118 N MAIN ST
ALGONQUIN IL
60102-3482
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-7253
  • Fax: 847-854-7252
Mailing address:
  • Phone: 847-854-7253
  • Fax: 847-854-7252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: BENJAMEN NAGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-854-7250