Provider Demographics
NPI:1053557892
Name:COMPLETE SLEEP INC
Entity type:Organization
Organization Name:COMPLETE SLEEP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:847-378-8124
Mailing Address - Street 1:1612 LANDMEIER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-2478
Mailing Address - Country:US
Mailing Address - Phone:847-378-8124
Mailing Address - Fax:847-378-8129
Practice Address - Street 1:1612 LANDMEIER RD
Practice Address - Street 2:SUITE B
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-2478
Practice Address - Country:US
Practice Address - Phone:847-378-8124
Practice Address - Fax:847-378-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0000000Medicare UPIN
IL6323190001Medicare NSC