USRC WEST CHICAGO LLC NPI 1851813216

NPI Information

NPI: 1851813216
Provider Name: USRC WEST CHICAGO, LLC

Doing Business As: US RENAL CARE WEST CHICAGO DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
112 W 87TH ST STE N
CHICAGO, IL
ZIP 60620
Phone: (708) 831-2601
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USRC WEST CHICAGO, LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. USRC WEST CHICAGO, LLC NPI is 1851813216. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care West Chicago Dialysis.

The provider's business location address is:

112 W 87TH ST STE N
CHICAGO, IL
ZIP 60620-318
Phone: (708) 831-2601
Fax: (708) 831-2602

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman, Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 14D2134156 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 7/7/2017.

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: 4/28/2024

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