Organization
MIDWEST PULMONARY AND SLEEP CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDAL SAKKA M. D. (PRESIDENT)
(847) 240-9500
Entity
Organization
Contact information
Practice address
802 E WOODFIELD RD, SUITE 200, SCHAUMBURG, IL 60173-4712
(847) 240-9500
(847) 240-9501
Mailing address
802 E WOODFIELD RD, SUITE 200, SCHAUMBURG, IL 60173-4712
(847) 240-9500
(847) 240-9501
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036108121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108121
—
IL
01
—
1635330
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/04/2006
Last updated
09/17/2008
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