Healthcare Provider Details

I. General information

NPI: 1285123349
Provider Name (Legal Business Name): SLEEP BETTER ILLINOIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 08/26/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 N RANDALL RD STE 103
LAKE IN THE HILLS IL
60156-5999
US

IV. Provider business mailing address

261 N RANDALL RD STE 103
LAKE IN THE HILLS IL
60156-5999
US

V. Phone/Fax

Practice location:
  • Phone: 847-558-2224
  • Fax:
Mailing address:
  • Phone: 847-558-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019022088
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: TIM STIRNEMAN
Title or Position: MANAGING MEMBER
Credential: DDS
Phone: 847-558-2224