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FRESENIUS MEDICAL CARE WEST WILLOW LLC NPI 1437458734


NPI Information

NPI: 1437458734
Provider Name: FRESENIUS MEDICAL CARE WEST WILLOW, LLC

Doing Business As: FRESENIUS MEDICAL CARE WEST WILLOW

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2032128

Address:
1444 W WILLOW ST
CHICAGO, IL
ZIP 60642
Phone: (773) 772-4079
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FRESENIUS MEDICAL CARE WEST WILLOW, LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. FRESENIUS MEDICAL CARE WEST WILLOW, LLC NPI is 1437458734. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care West Willow.

The provider's business location address is:

1444 W WILLOW ST
CHICAGO, IL
ZIP 60642-503
Phone: (773) 772-4079
Fax: (773) 772-4680

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D2032128 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 8/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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