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WSKC DIALYSIS SERVICES INC. NPI 1487769220


NPI Information

NPI: 1487769220
Provider Name: WSKC DIALYSIS SERVICES, INC.

Doing Business As: JACKSON PARK DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7531 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60649
Phone: (773) 947-7510
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WSKC DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. WSKC DIALYSIS SERVICES, INC. NPI is 1487769220. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Park Dialysis Center.

The provider's business location address is:

7531 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60649-954
Phone: (773) 947-7510
Fax: (773) 493-0168

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 enumeration date for this NPI number is 8/20/2006 and was last updated on 8/19/2021.


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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