Healthcare Provider Details

I. General information

NPI: 1659472850
Provider Name (Legal Business Name): DELTA SLEEP INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 HOBSON RD SUITE 202
WOODRIDGE IL
60517-1439
US

IV. Provider business mailing address

3510 HOBSON RD SUITE 202
WOODRIDGE IL
60517-1439
US

V. Phone/Fax

Practice location:
  • Phone: 630-960-2727
  • Fax: 630-960-2715
Mailing address:
  • Phone: 630-960-2727
  • Fax: 630-960-2715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number203000720
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. LAURENCE G. LEHANE
Title or Position: OWNER
Credential: RCP
Phone: 630-960-2727