# ADVANCED SLEEP INSTITUTE LLC

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

## Provider details

- **NPI number:** 1184969420
- **Authorized official:** RACHEL SHELTON (FACILITY MANAGER)
- **Authorized official phone:** (618) 549-6378

## Contact information

- **Practice address:** 2731 WEST MAIN, SUITE C, CARBONDALE, IL 62901-1000
- **Practice address phone:** (618) 519-9999
- **Mailing address:** PO BOX 459, CARBONDALE, IL 62903-0459
- **Mailing address phone:** (618) 355-9970
- **Mailing address fax:** (618) 355-9972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2012
- **Last updated:** 04/16/2013