OrganizationActive
Illinois Sleep Provider, Inc.
NPI 1114963048 · Durable Medical Equipment & Medical Supplies · Lyons, IL
Provider details
- NPI number
- 1114963048
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Alejandra Duran, Cfo(708) 442-9800
- License
- 203.000618 (IL)
Specialties & taxonomies
Suppliers
Practice location
8736 Ogden Ave
Lyons, IL 60534-1060
Phone: (708) 442-9800
Fax: (708) 442-9889
Approximate (ZIP-level) locationGet directions
Mailing address
8736 W Odgen Ave
Lyons, IL 60534-1060
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2014-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.