FRESENIUS MEDICAL CARE MIDWEST HOME DIALYSIS LLC NPI 1730775636

NPI Information

NPI: 1730775636
Provider Name: FRESENIUS MEDICAL CARE MIDWEST HOME DIALYSIS, LLC

Doing Business As: FRESENIUS KIDNEY CARE MIDWEST HOME DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
501 W LAKE ST STE 201
ELMHURST, IL
ZIP 60126
Phone: (630) 758-2490
Get Directions

FRESENIUS MEDICAL CARE MIDWEST HOME DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Elmhurst, IL. FRESENIUS MEDICAL CARE MIDWEST HOME DIALYSIS, LLC NPI is 1730775636. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Midwest Home Dialysis.

The provider's business location address is:

501 W LAKE ST STE 201
ELMHURST, IL
ZIP 60126-419
Phone: (630) 758-2490
Fax: (630) 758-2491

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vp and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D1096093 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 10/23/2023.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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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