FRESENIUS MEDICAL CARE OF ILLINOIS LLC NPI 1740595800

NPI Information

NPI: 1740595800
Provider Name: FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Doing Business As: FRESENIUS MEDICAL CARE ELGIN

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2015594

Address:
2130 POINT BLVD
ELGIN, IL
ZIP 60123
Phone: (847) 428-3605
Get Directions

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Elgin, IL. FRESENIUS MEDICAL CARE OF ILLINOIS, LLC NPI is 1740595800. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Elgin.

The provider's business location address is:

2130 POINT BLVD
ELGIN, IL
ZIP 60123-215
Phone: (847) 428-3605
Fax: (847) 428-3716

The provider's authorized official is Mark Fawcett .
The authorized official title is Treausrer and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D2015594 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 12/4/2013.

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	142726	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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