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General NPI Number Information
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NPI Number | 1275489171
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Entity Type | Organization
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Legal Business Name | JS SLEEP CENTER
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 18610 BURNHAM AVE STE D
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City | LANSING
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State | IL
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Zip | 60438-3500
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Country | US
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Telephone | 708-895-0778
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Fax |
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Provider Business Mailing Address
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Address Line | 236 S RACINE AVE APT 203
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City | CHICAGO
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State | IL
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Zip | 60607-2919
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEE SUN KIM
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Credential | DDS
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Telephone | 571-263-4824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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