Organization
SLEEP 4 SURE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULES T KOVELESKI M.D. (PRESIDENT)
(815) 776-0104
Entity
Organization
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, GALENA, IL 61036
(815) 777-1340
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-8283
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052720
—
IL
Enumeration date
01/22/2008
Last updated
06/04/2008
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