| Bourbonnais Sleep Solutions | |
|
14 Briarcliff Professional Center Bourbonnais IL 60914 | |
| (815) 937-4455 | |
| (815) 937-5516 |
| Full Name | Bourbonnais Sleep Solutions |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 14 Briarcliff Professional Center, Bourbonnais, Illinois |
| Authorized Official Name and Position | Thomas H George (OWNER) |
| Authorized Official Contact | 8159374455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourbonnais Sleep Solutions 14 Briarcliff Professional Center Bourbonnais IL 60914 Ph: (815) 937-4455 | Bourbonnais Sleep Solutions 14 Briarcliff Professional Center Bourbonnais IL 60914 Ph: (815) 937-4455 |
| NPI Number | 1932600459 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 6709295686 |
|---|---|
| Medicare Enrollment ID | O20210505001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932600459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-016353 (Illinois) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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