TOTAL RENAL CARE INC NPI 1174947204

NPI Information

NPI: 1174947204
Provider Name: TOTAL RENAL CARE INC

Doing Business As: WEST SIDE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2074682

Address:
1600 W 13TH ST STE 3
CHICAGO, IL
ZIP 60608
Phone: (312) 243-9286
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. TOTAL RENAL CARE INC NPI is 1174947204. The provider is registered as an organization entity type.
The provider Is Doing Business As West Side Dialysis.

The provider's business location address is:

1600 W 13TH ST STE 3
CHICAGO, IL
ZIP 60608-306
Phone: (312) 243-9286
Fax: (312) 733-2466

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 14D2074682 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2014 and was last updated on 4/14/2021.

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:

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: 11/14/2023

NPI Synchronization or Removal

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