DIALYSIS CENTERS OF AMERICA - ILLINOIS INC. NPI 1073628822

NPI Information

DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. NPI is 1073628822. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg Northwestern.

The provider's business location address is:

710 N FAIRBANKS CT
OLSON PAVILION, 4-200
CHICAGO, IL
ZIP 60611-013
Phone: (312) 274-0202
Fax: (312) 337-9922

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D2068366 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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