Healthcare Provider Details
I. General information
NPI: 1942378336
Provider Name (Legal Business Name): TINLEY PARK SLEEP CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16532 OAK PARK AVE STE LL1 CO DR SCHER STE 202
TINLEY PARK IL
60477-1918
US
IV. Provider business mailing address
16532 OAK PARK AVE STE LL1 CO DR SCHER STE 202
TINLEY PARK IL
60477-1918
US
V. Phone/Fax
- Phone: 708-444-7995
- Fax:
- Phone: 708-444-7995
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATAN
SCHER
Title or Position: MANAGER
Credential:
Phone: 708-444-7995