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General NPI Number Information
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NPI Number | 1285123349
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Entity Type | Organization
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Legal Business Name | SLEEP BETTER ILLINOIS LLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 261 N RANDALL RD STE 103
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-5999
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Country | US
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Telephone | 847-558-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 261 N RANDALL RD STE 103
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-5999
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Country | US
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Telephone | 847-558-2224
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TIM STIRNEMAN
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Credential | DDS
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Telephone | 847-558-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019022088
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License Number State | IL
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