Organization
MIDWEST PULMONARY & SLEEP CLINIC
Active
Parent organization
MIDWEST PULMONARY & SLEEP CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST PULMONARY & SLEEP CLINIC
Authorized official
NIDAL SAKKA M.D. (PRESIDENT)
(847) 240-9500
Entity
Organization
Contact information
Practice address
1442 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 658-0909
(847) 658-6709
Mailing address
802 E WOODFIELD RD, SUITE 200, SCHAUMBURG, IL 60173-4712
(847) 240-9500
(847) 240-9501
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036108121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108121
—
IL
01
—
1635330
BLUE CROSS BLUE SHIELD
IL
01
—
212072
MEDICARE ID-TYPE UNSPECIFIED
IL
Enumeration date
03/23/2009
Last updated
03/23/2009
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