LINCOLN PARK DIALYSIS SERVICES INC NPI 1306805551

NPI Information

LINCOLN PARK DIALYSIS SERVICES INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. LINCOLN PARK DIALYSIS SERVICES INC NPI is 1306805551. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyline Home Dialysis.

The provider's business location address is:

7009 W BELMONT AVE
CHICAGO, IL
ZIP 60634-533
Phone: (773) 637-7303
Fax: (773) 637-7343

The provider's authorized official is John D 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 14D0871899 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 12/7/2020.

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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