Organization
INDIANA REGIONAL SLEEP DISORDER CENTER, INC
Active
Other names
Illiana Sleep Associates
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN APATA MD (PHYSICIAN/OWNER)
(219) 944-4187
Entity
Organization
Contact information
Practice address
2850 S WABASH AVE, CHICAGO, IL 60616-2955
(219) 944-4187
(219) 944-4196
Mailing address
55 E 86TH AVE, PO BOX 10645, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-119770
IL
207RP1001X
Pulmonary Disease Physician
036119770
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036-119770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-119770
ILLINOIS LICENSE
IL
Enumeration date
12/19/2008
Last updated
03/23/2009
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