Organization
ASSOCIATES IN SLEEP MEDICINE LLC
Active
Other names
THE CENTER FOR SLEEP MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW B MOUTON (OWNER)
(708) 364-0261
Entity
Organization
Contact information
Practice address
10640 W 165TH STREET, ORLAND PARK, IL 60467-5653
(708) 364-0261
(708) 364-6019
Mailing address
10640 W 165TH STREET, ORLAND PARK, IL 60467-5653
(708) 364-0261
(708) 364-6019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
05/13/2009
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