TOTAL RENAL CARE INC NPI 1780179838

NPI Information

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Skokie, IL. TOTAL RENAL CARE INC NPI is 1780179838. The provider is registered as an organization entity type.
The provider Is Doing Business As Edens Home Dialysis.

The provider's business location address is:

8950 GROSS POINT RD STE 300
SKOKIE, IL
ZIP 60077
Phone: (847) 886-3225
Fax: (847) 965-1952

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (310) 536-2401.

The CLIA number assigned to this NPI record is 14D1067101 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2018 and was last updated on 6/16/2021.

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:

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