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WSKC DIALYSIS SERVICES INC. NPI 1114032950


NPI Information

NPI: 1114032950
Provider Name: WSKC DIALYSIS SERVICES, INC.

Doing Business As: DOWNERS GROVE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D0709561

Address:
3825 HIGHLAND AVE STE 102
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 964-2605
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WSKC DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in Downers Grove, IL. WSKC DIALYSIS SERVICES, INC. NPI is 1114032950. The provider is registered as an organization entity type.
The provider Is Doing Business As Downers Grove Dialysis Center.

The provider's business location address is:

3825 HIGHLAND AVE STE 102
DOWNERS GROVE, IL
ZIP 60515-560
Phone: (630) 964-2605
Fax: (630) 964-9414

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 14D0709561 - 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 10/14/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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