MIDWEST CENTER FOR SLEEP MEDICINE, LLC (NPI# 1730128315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730128315 |
| Entity Type | Organization |
| Organization Name | MIDWEST CENTER FOR SLEEP MEDICINE, LLC |
| Practice Address |
1709 Jumer Dr Bloomington IL 61704 |
| Mailing Address |
1709 Jumer Dr Bloomington IL 61704-0914 |
| Practice Telephone | 3096629997 |
| Practice Fax Number | 3096639917 |
| Mailing Telephone | 3096629997 |
| Mailing Fax Number | 3096639917 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LESLIE E MATHERS III (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Telephone | 3096643061 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
NA | IL | Ambulatory Health Care Facilities |
| Street Address |
1709 JUMER DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366490658 | Joseph Porinchu Alenghat | Radiology | 1709 Jumer Dr, Suite B, Bloomington, IL 61704-0914 | 2006-05-05 |
| 1881641371 | Central Illinois Neuroradiology, Ltd | Specialist | 1709 Jumer Dr, Suite B, Bloomington, IL 61704-0909 | 2006-05-28 |
| 1710936497 | Wayne Kenneth Manness | Radiology | 1709 Jumer Dr, Suite B, Bloomington, IL 61704-0914 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811182298 | Ima, Inc. | Clinic/Center | 2605 E. Creek's Edge Dr., Bloomington, IN 47401 | 2007-09-10 |
| 1407965130 | Sleep Center of Central Illinois LLC | Clinic/Center | 2204 Eastland Dr, Suite 100, Bloomington, IL 61704-3567 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255784 | Portable Sleep Solutions LLC | Clinic/Center | 820 Sw Adams St, Peoria, IL 61602-1623 | 2019-06-22 |
| 1053977017 | Mrb Healthcare Services LLC | Clinic/Center | 5633 Lee St, Morton Grove, IL 60053-3116 | 2019-05-15 |
| 1225548753 | St Elizabeths Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 791 Wall St Ste 200, O Fallon, IL 62269-2087 | 2017-10-11 |
| 1760740278 | Future Sleep Solutions | Clinic/Center | 7392 Clem Dr, Gurnee, IL 60031-5193 | 2012-05-03 |
| 1437424389 | Mobile Medical Monitors, LLC | Clinic/Center | 1804 S 27th St, Herrin, IL 62948-4439 | 2012-03-11 |
| 1124316906 | Sleep Study Professionals LLC | Clinic/Center | 1901 Appaloosa Dr, Naperville, IL 60565-6714 | 2011-07-14 |
| 1962794222 | Sleep Diagnostics Ltd. | Clinic/Center | 205 W Grand Ave, Unit #104, Bensenville, IL 60106-3364 | 2011-05-05 |
| 1861799215 | Ottawa Regional Cardinal Sleep Center, LLC | Clinic/Center | 1601 Mercury Ct Ste 2, Ottawa, IL 61350-9333 | 2011-02-22 |
| 1164736005 | Village Sleep Center Inc | Clinic/Center | 1100 Lake St Ste Ll40, Oak Park, IL 60301-1066 | 2010-08-03 |
| 1598085706 | Sound Sleep Center Inc | Clinic/Center | 1600 S. Torrence Avenue, Lower Level, Calumet City, IL 60409-5430 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.