Organization
VILLAGE SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRCEA T IACOB MD (PRESIDENT)
(312) 520-8547
Entity
Organization
Contact information
Practice address
1100 LAKE ST STE LL40, OAK PARK, IL 60301-1066
(312) 520-8547
Mailing address
1100 LAKE ST STE LL40, OAK PARK, IL 60301-1066
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
036113093
IL
Other
Enumeration date
08/03/2010
Last updated
09/03/2010
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