# SOUTHERN ILLINOIS SLEEP INSTITUTE

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

## Provider details

- **NPI number:** 1811954944
- **Authorized official:** MS. ANITA G. HOPKIN R.PSG.T. (BILLING MANAGER)
- **Authorized official phone:** (314) 645-5855

## Contact information

- **Practice address:** 105 AIRWAY DR, MARION, IL 62959-5872
- **Practice address phone:** (618) 997-5500
- **Practice address fax:** (618) 997-5501
- **Mailing address:** PO BOX 797090, SAINT LOUIS, MO 63179-7000
- **Mailing address phone:** (314) 645-5855
- **Mailing address fax:** (314) 645-6446

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 01/18/2008