# ST LOUIS SINUS & SLEEP CENTERS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629414644
- **Authorized official:** KETAN A SHAH M.D. (OWNER)
- **Authorized official phone:** (618) 939-4368

## Contact information

- **Practice address:** 509 HAMACHER ST, SUITE 205, WATERLOO, IL 62298-1592
- **Practice address phone:** (618) 939-4368
- **Practice address fax:** (888) 371-4468
- **Mailing address:** 1167 FORTUNE BLVD, SHILOH, IL 62269-7377
- **Mailing address phone:** (618) 628-0715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 036101869 | IL | Yes |

## Other

- **Enumeration date:** 05/16/2013
- **Last updated:** 05/16/2013