Organization
NORTHERN ILLINOIS SLEEP CENTER, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVEK THAPPA M.D. (PHYSICIAN)
(815) 316-1899
Entity
Organization
Contact information
Practice address
1958 ABERDEEN CT, SUITE 2, SYCAMORE, IL 60178-3175
(815) 787-7997
(815) 316-7897
Mailing address
PO BOX 5023, ROCKFORD, IL 61125-0023
(815) 316-1899
(815) 316-1897
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
036081657
IL
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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