LINCOLN PARK DIALYSIS SERVICES INC NPI 1659330694

NPI Information

LINCOLN PARK DIALYSIS SERVICES INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. LINCOLN PARK DIALYSIS SERVICES INC NPI is 1659330694. The provider is registered as an organization entity type.

The provider's business location address is:

2484 N ELSTON AVE
CHICAGO, IL
ZIP 60647-002
Phone: (773) 278-4403
Fax: (773) 489-6986

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 14D0724412 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 10/24/2023.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.