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Organization
SLEEP SOLUTIONS OF CENTRAL ILLINOIS LLC
Active
Organization
SLEEP SOLUTIONS OF CENTRAL ILLINOIS LLC
Active
Other names
Koala Center for Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TODD GRAY DDS (OWNER/DENTIST)
(309) 319-6568
Entity
Organization
Contact information
Practice address
2309 E EMPIRE ST, STE. 500, BLOOMINGTON, IL 61704-8636
(309) 319-6568
(309) 664-0352
Mailing address
2309 E EMPIRE ST, STE. 500, BLOOMINGTON, IL 61704-8636
(309) 319-6568
(309) 664-0352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021753
IL
Other
Enumeration date
02/15/2012
Last updated
04/27/2016
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