# ELSTON MANAGEMENT CORPORATION

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

## Provider details

- **NPI number:** 1700194180
- **Authorized official:** MR. DAVID DORN (PRESIDENT)
- **Authorized official phone:** (773) 205-7409

## Contact information

- **Practice address:** 4592 N ELSTON AVE, CHICAGO, IL 60630-4215
- **Practice address phone:** (773) 205-7409
- **Mailing address:** 4592 N ELSTON AVE, CHICAGO, IL 60630-4215

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2010
- **Last updated:** 09/19/2010