# NORTHWEST PULMONARY AND SLEEP MEDICINE SC

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

## Provider details

- **NPI number:** 1881878221
- **Authorized official:** DR. DENNIS FRANKLIN KELLAR MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (815) 477-7350

## Contact information

- **Practice address:** 1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
- **Practice address phone:** (815) 477-7350
- **Practice address fax:** (815) 477-7351
- **Mailing address:** 1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
- **Mailing address phone:** (815) 477-7350
- **Mailing address fax:** (815) 477-7351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 036-104219 | IL | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 09/01/2020