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KIDNEY SPECIALISTS OF ILLINOIS LLC NPI 1275969222


NPI Information

NPI: 1275969222
Provider Name: KIDNEY SPECIALISTS OF ILLINOIS LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
5140 N CALIFORNIA AVE
SUITE 700
CHICAGO, IL
ZIP 60625
Phone: (773) 784-2101
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KIDNEY SPECIALISTS OF ILLINOIS LLC is a nephrology internal medicine in Chicago, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY SPECIALISTS OF ILLINOIS LLC NPI is 1275969222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE 700
CHICAGO, IL
ZIP 60625-645
Phone: (773) 784-2101
Fax: (773) 784-0771

The provider's authorized official is Mustafa Mohammed Ali .
The authorized official title is Owner and has the following contact phone number (847) 942-6848.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 2/3/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology036.125203ILLINOISYes

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: 4/28/2024

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