Healthcare Provider Details

I. General information

NPI: 1689755092
Provider Name (Legal Business Name): SLEEPWATCHERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S MILWAUKEE AVE STE 201
LAKE VILLA IL
60046-5426
US

IV. Provider business mailing address

50 S MILWAUKEE AVE STE 201
LAKE VILLA IL
60046-5426
US

V. Phone/Fax

Practice location:
  • Phone: 847-838-9253
  • Fax: 888-608-0343
Mailing address:
  • Phone: 847-838-9253
  • Fax: 888-608-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code173F00000X
TaxonomySleep Specialist (PhD)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN KANE
Title or Position: OWNER
Credential: PHD
Phone: 847-838-9253