Basic Information
| Provider Information | |||||||||
| NPI: | 1568887354 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RESPIRATORY, CRITICAL CARE AND SLEEP SPECIALISTS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2001 TOWER DR | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600267805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6304601099 | ||||||||
| FaxNumber: | 6302466650 | ||||||||
| Practice Location | |||||||||
| Address1: | 5600 W ADDISON ST | ||||||||
| Address2: | SUITE 306 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606344401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7732838664 | ||||||||
| FaxNumber: | 7732838688 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2014 | ||||||||
| LastUpdateDate: | 03/03/2014 | ||||||||
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| AuthorizedOfficialLastName: | AHLUWALIA | ||||||||
| AuthorizedOfficialFirstName: | MUKESH | ||||||||
| AuthorizedOfficialMiddleName: | KUMAR | ||||||||
| AuthorizedOfficialTitleorPosition: | SOLE MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 6304601099 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RS0012X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RP1001X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.