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Organization
INDIANA REGIONAL SLEEP DISORDER CENTER, INC
Active
Organization
INDIANA REGIONAL SLEEP DISORDER CENTER, INC
Active
Other names
Illiana Sleep Associates
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN APATA MD (PHYSICIAN/OWNER)
(219) 944-4187
Entity
Organization
Contact information
Practice address
2850 S WABASH AVE, CHICAGO, IL 60616-2955
(219) 944-4187
(219) 944-4196
Mailing address
55 E 86TH AVE, PO BOX 10645, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-119770
IL
207RP1001X
Pulmonary Disease Physician
036119770
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036-119770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-119770
ILLINOIS LICENSE
IL
Enumeration date
12/19/2008
Last updated
03/23/2009
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