# VILLAGE SLEEP CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164736005
- **Authorized official:** DR. MIRCEA T IACOB MD (PRESIDENT)
- **Authorized official phone:** (312) 520-8547

## Contact information

- **Practice address:** 1100 LAKE ST STE LL40, OAK PARK, IL 60301-1066
- **Practice address phone:** (312) 520-8547
- **Mailing address:** 1100 LAKE ST STE LL40, OAK PARK, IL 60301-1066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 036113093 | IL | Yes |

## Other

- **Enumeration date:** 08/03/2010
- **Last updated:** 09/03/2010