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SOUTHWEST NEPHROLOGY ASSOCIATES S.C. NPI 1104925163


NPI Information

NPI: 1104925163
Provider Name: SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 14D0419880

Address:
9125 S PULASKI RD
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 422-7715
Get Directions

SOUTHWEST NEPHROLOGY ASSOCIATES, S.C. is a nephrology internal medicine in Evergreen Park, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SOUTHWEST NEPHROLOGY ASSOCIATES, S.C. NPI is 1104925163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9125 S PULASKI RD
EVERGREEN PARK, IL
ZIP 60805-441
Phone: (708) 422-7715
Fax: (708) 422-7816

The provider's authorized official is Nancy Zofkie .
The authorized official title is Practice Administrator and has the following contact phone number (708) 398-6627.

The CLIA number assigned to this NPI record is 14D0419880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/12/2022.


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
1207RN0300XInternal MedicineNephrology042618498ILLINOISYes

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

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