Healthcare Provider Details

I. General information

NPI: 1730955527
Provider Name (Legal Business Name): APNEA WATCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2023
Last Update Date: 12/01/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 MIDWEST CLUB PKWY
OAK BROOK IL
60523-2589
US

IV. Provider business mailing address

1705 MIDWEST CLUB PKWY
OAK BROOK IL
60523-2589
US

V. Phone/Fax

Practice location:
  • Phone: 630-400-8073
  • Fax:
Mailing address:
  • Phone: 630-400-8073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NARASIMHA R SALADI
Title or Position: PRESIDENT
Credential: MD
Phone: 630-400-8073