# OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861799215
- **Legal business name:** OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC.
- **Authorized official:** MR. ROBERT A CHAFFIN (PRESIDENT)
- **Authorized official phone:** (815) 431-5456

## Contact information

- **Practice address:** 1601 MERCURY CT STE 2, OTTAWA, IL 61350-9333
- **Practice address phone:** (815) 433-3100
- **Practice address fax:** (815) 431-5500
- **Mailing address:** 1601 MERCURY CT STE 2, OTTAWA, IL 61350-9333
- **Mailing address phone:** (815) 433-3100
- **Mailing address fax:** (815) 431-5500

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/22/2011