Contract Details
Facility name
Delta Sleep Inc
Provider ID
P000005032
NPI
1659472850
Tax ID
203001899
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3510 Hobson Rd Suite 202
Woodridge, IL 60517
United States
County
DuPage
Phone
6309602727 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address