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Organization

DEDICATED SLEEP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL M GLENN (OWNER)
(360) 907-7534
Entity
Organization

Contact information

Practice address
3030 WARRENVILLE RD STE 210, LISLE, IL 60532-3646
(872) 215-0361
Mailing address
21260 S SPRINGWATER RD, ESTACADA, OR 97023-9650
(360) 907-7534
(866) 544-3890

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036118838
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
207QS1201X
Sleep Medicine (Family Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207Y00000X
Otolaryngology Physician
207YS0012X
Sleep Medicine (Otolaryngology) Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01067650
IN

Other

Enumeration date
07/21/2017
Last updated
06/23/2025
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