FRESENIUS MEDICAL CARE OF ILLINOIS LLC NPI 1073944427

NPI Information

NPI: 1073944427
Provider Name: FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Doing Business As: FRESENIUS MEDICAL CARE PEKIN HOME

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2355 BROADWAY ST
PEKIN, IL
ZIP 61554
Phone: (309) 347-1632
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FRESENIUS MEDICAL CARE OF ILLINOIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Pekin, IL. FRESENIUS MEDICAL CARE OF ILLINOIS, LLC NPI is 1073944427. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Pekin Home.

The provider's business location address is:

2355 BROADWAY ST
PEKIN, IL
ZIP 61554-902
Phone: (309) 347-1632
Fax: (309) 347-1636

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 1/3/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		ILLINOIS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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