# NORTHERN ILLINOIS SLEEP CENTER, S.C

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

## Provider details

- **NPI number:** 1952541922
- **Authorized official:** DR. VIVEK THAPPA M.D. (PHYSICIAN)
- **Authorized official phone:** (815) 316-1899

## Contact information

- **Practice address:** 1958 ABERDEEN CT, SUITE 2, SYCAMORE, IL 60178-3175
- **Practice address phone:** (815) 787-7997
- **Practice address fax:** (815) 316-7897
- **Mailing address:** PO BOX 5023, ROCKFORD, IL 61125-0023
- **Mailing address phone:** (815) 316-1899
- **Mailing address fax:** (815) 316-1897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 036081657 | IL | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/03/2009