Contract Details
Facility name
Sleep Rx, LLC
Provider ID
P000004551
NPI
1447252143
Tax ID
202718229
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
7536 North Saint Louis Ave
Skokie, IL 60076
United States
County
Cook
Phone
8476764138 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address