| Advance Sleep & Neurodiagnostic Services | |
|
1054 M L King Dr Ste 124 Centralia IL 62801-3065 | |
| (618) 533-8700 | |
| (618) 533-8701 |
| Full Name | Advance Sleep & Neurodiagnostic Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1054 M L King Dr Ste 124, Centralia, Illinois |
| Authorized Official Name and Position | Angela Rene Minor (OFFICE MANAGER) |
| Authorized Official Contact | 6185338700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Sleep & Neurodiagnostic Services 1054 M L King Dr Ste 124 Centralia IL 62801-3065 Ph: (618) 533-8700 | Advance Sleep & Neurodiagnostic Services 1054 M L King Dr Ste 124 Centralia IL 62801-3065 Ph: (618) 533-8700 |
| NPI Number | 1740494590 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 3779537832 |
|---|---|
| Medicare Enrollment ID | O20050310001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740494590 | NPI | - | NPPES |
| 06123524 | Other | IL | BLUE CROSS |
| 111163 | Other | IL | HEALTHLINK |
| 036078556 | Medicaid | IL | |
| 051812 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036078556 (Illinois) | Primary |
| Provider Name | Sajjan K Nemani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649220542 PECOS PAC ID: 2668437195 Enrollment ID: I20041124000183 |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E Mlk Drive, Centralia, IL 62801 Phone: 618-533-1301 Fax: 618-533-0012 | |
Ssm Health St. Mary's Hospital - Centralia Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 | |
Ssm Health St. Mary's Hospital - Centralia Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S Locust St, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Progressive Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Airport Rd, Centralia, IL 62801 Phone: 618-316-3826 | |
Carbondale Beh. Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 E Noleman St, Centralia, IL 62801 Phone: 618-436-6267 |