Healthcare Provider Details

I. General information

NPI: 1407189152
Provider Name (Legal Business Name): PROFESSIONAL SLEEP LABS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W HIGGINS RD B
HOFFMAN ESTATES IL
60169-4914
US

IV. Provider business mailing address

138 W HIGGINS RD B
HOFFMAN ESTATES IL
60169-4914
US

V. Phone/Fax

Practice location:
  • Phone: 224-636-2105
  • Fax: 847-884-7090
Mailing address:
  • Phone: 224-636-2105
  • Fax: 847-884-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS AKBER KHAN
Title or Position: OWNER
Credential: MD
Phone: 224-636-2105