COWELL DIALYSIS LLC NPI 1497004485

NPI Information

  • NPI: 1497004485
  • Provider Name: COWELL DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • Address: 3934 W 24TH ST
    CHICAGO, IL
    ZIP 60623
  • Phone: (773) 277-0578

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NPI Details

COWELL DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. COWELL DIALYSIS LLC NPI is 1497004485. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3934 W 24TH ST
CHICAGO, IL
ZIP 60623-371
Phone: (773) 277-0578
Fax: (773) 542-1381

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 3/13/2025.

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
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: 3/30/2025

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