Provider Demographics
NPI:1366526717
Name:PREFERRED SLEEP LABS
Entity type:Organization
Organization Name:PREFERRED SLEEP LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-486-9773
Mailing Address - Street 1:2600 LEHIGH AVE
Mailing Address - Street 2:SUITE 438
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8028
Mailing Address - Country:US
Mailing Address - Phone:847-486-9773
Mailing Address - Fax:847-486-9767
Practice Address - Street 1:2600 LEHIGH AVE
Practice Address - Street 2:SUITE 438
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8028
Practice Address - Country:US
Practice Address - Phone:847-486-9773
Practice Address - Fax:847-486-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635785OtherBCBS
IL01635785OtherBCBS
IL213548Medicare ID - Type Unspecified