AFFILIATED HOME DIALYSIS LLC NPI 1396907267

NPI Information

NPI: 1396907267
Provider Name: AFFILIATED HOME DIALYSIS LLC

Doing Business As: AFFILIATED HOME DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1014 BONAVENTURE DR
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (309) 698-1811
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AFFILIATED HOME DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Elk Grove Village, IL. AFFILIATED HOME DIALYSIS LLC NPI is 1396907267. The provider is registered as an organization entity type.
The provider Is Doing Business As Affiliated Home Dialysis.

The provider's business location address is:

1014 BONAVENTURE DR
ELK GROVE VILLAGE, IL
ZIP 60007-277
Phone: (309) 698-1811
Fax: (309) 698-1811

The provider's authorized official is Curt Anliker .
The authorized official title is Chief Executive Officer and has the following contact phone number (630) 942-1111.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 7/11/2016.

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			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142699	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

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

NPI Synchronization or Removal

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