Organization
DELTA SLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEHANW (PRESIDENT)
(630) 960-2727
Entity
Organization
Contact information
Practice address
3510 HOBSON RD, 202 A, WOODRIDGE, IL 60517-1439
(630) 960-2727
(630) 960-2715
Mailing address
3510 HOBSON RD, 202 A, WOODRIDGE, IL 60517-1439
(630) 960-2727
(630) 960-2715
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
203000720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233260
BCBS
IL
Enumeration date
01/16/2015
Last updated
01/16/2015
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