| Insomnia Treatment Center, Ltd. | |
|
3633 W Lake Ave Suite 404 Glenview IL 60026-5805 | |
| (847) 657-6007 | |
| (847) 657-6412 |
| Full Name | Insomnia Treatment Center, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Robert W Bloom (PRESIDENT) |
| Authorized Official Contact | 8476576007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insomnia Treatment Center, Ltd. 3633 W Lake Ave Suite 404 Glenview IL 60026-5805 Ph: (847) 657-6007 | Insomnia Treatment Center, Ltd. 3633 W Lake Ave Suite 404 Glenview IL 60026-5805 Ph: (847) 657-6007 |
| NPI Number | 1619951860 |
|---|---|
| Provider Enumeration Date | 12/01/2005 |
| Last Update Date | 09/25/2008 |
| Medicare PECOS PAC ID | 5496935462 |
|---|---|
| Medicare Enrollment ID | O20110208000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619951860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-069110 (Illinois) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 036-069110 (Illinois) | Secondary |
| Provider Name | Robert W Bloom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609850932 PECOS PAC ID: 8325236987 Enrollment ID: I20101223000097 |
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