Organization
ADVANCE SLEEP SOLUTIONS AND DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANVEER AHMAD MD (OWNER)
(815) 338-0900
Entity
Organization
Contact information
Practice address
820 F TERRA COTTA AVE, UNIT 216, CRYSTAL LAKE, IL 60014
(815) 455-1315
(815) 455-1316
Mailing address
820 E TERRA COTTA AVE, 216, CRYSTAL LAKE, IL 60014-3649
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036072630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072630
—
IL
01
—
05600315
BCBS
—
Enumeration date
12/01/2006
Last updated
09/17/2009
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