Healthcare Provider Details

I. General information

NPI: 1063005536
Provider Name (Legal Business Name): COMPREHENSIVE SLEEP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 W JACKSON BLVD STE 300A
CHICAGO IL
60604-2957
US

IV. Provider business mailing address

11329 KATHRYN LN SE
YELM WA
98597-9636
US

V. Phone/Fax

Practice location:
  • Phone: 817-723-1462
  • Fax: 503-961-9767
Mailing address:
  • Phone: 817-723-1462
  • Fax: 503-961-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SEAN ARNOLD
Title or Position: PARTNER AND EXECUTIVE OFFICER
Credential: RPSGT, CCSH
Phone: 817-723-1462