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Organization
ADVANCE SLEEP SOLUTIONS AND DIAGNOSTICS INC
Active
Organization
ADVANCE SLEEP SOLUTIONS AND DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANVEER AHMAD MD (OWNER)
(815) 338-0900
Entity
Organization
Contact information
Practice address
820 F TERRA COTTA AVE, UNIT 216, CRYSTAL LAKE, IL 60014
(815) 455-1315
(815) 455-1316
Mailing address
820 E TERRA COTTA AVE, 216, CRYSTAL LAKE, IL 60014-3649
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036072630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072630
—
IL
01
—
05600315
BCBS
—
Enumeration date
12/01/2006
Last updated
09/17/2009
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