DIALYSIS NEWCO LLC NPI 1053696674

NPI Information

DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. DIALYSIS NEWCO LLC NPI is 1053696674. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Scottsdale Dialysis.

The provider's business location address is:

4651 W 79TH ST
UNIT #100
CHICAGO, IL
ZIP 60652-186
Phone: (773) 582-8911
Fax: (773) 582-8977

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

The CLIA number assigned to this NPI record is 14D0676589 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2011 and was last updated on 1/4/2021.

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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