Healthcare Provider Details

I. General information

NPI: 1992872840
Provider Name (Legal Business Name): ORAWIN TECHNOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3N696 ROBERTS ROAD
ELBURN IL
60119
US

IV. Provider business mailing address

3N696 ROBERTS ROAD
ELBURN IL
60119
US

V. Phone/Fax

Practice location:
  • Phone: 312-504-0786
  • Fax: 630-513-0420
Mailing address:
  • Phone: 312-504-0786
  • Fax: 630-513-0420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. OLEG V SHULZHENKO
Title or Position: CEO
Credential:
Phone: 312-504-0786