Organization
PULMONARY & SLEEP MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRAS DAIRI MD (OWNER)
(847) 658-7693
Entity
Organization
Contact information
Practice address
2971 W ALGONQUIN RD STE 104, ALGONQUIN, IL 60102-9407
(847) 658-7693
(847) 658-7986
Mailing address
2971 W ALGONQUIN RD STE 104, ALGONQUIN, IL 60102-9407
(847) 658-7693
(847) 658-7986
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632031
BLUE CROSS/SHIELD
IL
01
—
DA6125
RAIL ROAD MEDICARE
IL
Enumeration date
07/19/2006
Last updated
06/07/2023
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