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General NPI Number Information
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NPI Number | 1710077656
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Entity Type | Organization
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Legal Business Name | SLEEP REMEDY CENTER, INC.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5241 S CICERO AVE SUITE 101
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City | CHICAGO
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State | IL
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Zip | 60632-4967
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Country | US
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Telephone | 773-585-7620
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Fax | 773-585-7620
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Provider Business Mailing Address
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Address Line | PO BOX 388694
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City | CHICAGO
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State | IL
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Zip | 60638-8694
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Country | US
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Telephone | 773-585-7620
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Fax | 773-585-7622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERRY SZYMANSKI
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Credential | M.D.
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Telephone | 773-585-7620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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