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Organization
JOLIET SLEEP CENTER INC
Active
Organization
JOLIET SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAJA NANNAPANENI (BILLING MANAGER)
(630) 887-1262
Entity
Organization
Contact information
Practice address
2000 GLENWOOD AVE, 109, JOLIET, IL 60435-5676
(815) 729-0111
Mailing address
1603 WOODLAND LN, BOLINGBROOK, IL 60490-3274
(630) 887-1262
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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