EXCEL KIDNEY CARE LLC NPI 1457733180

NPI Information

NPI: 1457733180
Provider Name: EXCEL KIDNEY CARE LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3002 N ASHLAND AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 296-3003
Get Directions

EXCEL KIDNEY CARE 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. EXCEL KIDNEY CARE LLC NPI is 1457733180. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3002 N ASHLAND AVE
CHICAGO, IL
ZIP 60657-012
Phone: (773) 296-3003
Fax: (773) 296-3002

The provider's authorized official is Abdul Mubeen Mohammed .
The authorized official title is Ceo and has the following contact phone number (281) 853-4429.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 5/21/2016.

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	207RN0300X	Internal Medicine	Nephrology			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	HEALTHLINK	OTHER	ILLINOIS	C81662
2	7642518	OTHER	ILLINOIS	7642518
3	F100238340	MEDICARE PIN	ILLINOIS
4	1457733180	MEDICAID	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: 4/28/2024

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