Healthcare Provider Details
I. General information
NPI: 1629409115
Provider Name (Legal Business Name): SLEEP WORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 PLAINFIELD RD SUITE B
JOLIET IL
60435-1902
US
IV. Provider business mailing address
1600 PLAINFIELD RD SUITE B
JOLIET IL
60435-1902
US
V. Phone/Fax
- Phone: 815-595-4200
- Fax: 815-680-5011
- Phone: 815-595-4200
- Fax: 815-680-5011
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALI
T
KALEEL
Title or Position: PRESIDENT
Credential:
Phone: 708-906-8487