Healthcare Provider Details

I. General information

NPI: 1457425209
Provider Name (Legal Business Name): SLEEPWATCHERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
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 Code173F00000X
TaxonomySleep Specialist (PhD)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number203-000629
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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