Provider Demographics
NPI:1447252143
Name:SLEEP RX LLC
Entity type:Organization
Organization Name:SLEEP RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAKOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-676-4138
Mailing Address - Street 1:5204 RELIABLE PKWY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60686-0001
Mailing Address - Country:US
Mailing Address - Phone:847-676-4138
Mailing Address - Fax:847-676-4148
Practice Address - Street 1:7536 SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-4034
Practice Address - Country:US
Practice Address - Phone:847-676-4138
Practice Address - Fax:847-676-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203-000713332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003153958AMedicaid
VT1024543Medicaid
AK1645551Medicaid
NM19407068Medicaid
WA2087860Medicaid
NH3106610Medicaid
MO1447252143Medicaid
IL203-000713OtherHOME MEDICAL EQUIPMENT
CO55256341Medicaid
MD1242016Medicaid
ID1447252143Medicaid
TX3448870-01Medicaid
CA1447252143Medicaid
NC1447252143Medicaid
UT1447252143Medicaid
WI1447252143Medicaid
TX3448870-02Medicaid
TNQ013144Medicaid
OH0116442Medicaid
KS201107940AMedicaid
KY710031370Medicaid
MT1447252143Medicaid
TX3448870-03Medicaid