DIALYSIS CARE CENTER BEVERLY LLC NPI 1497258693

NPI Information

NPI: 1497258693
Provider Name: DIALYSIS CARE CENTER BEVERLY LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
10801 S WESTERN AVE STE 100
CHICAGO, IL
ZIP 60643
Phone: (708) 741-1606
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DIALYSIS CARE CENTER BEVERLY LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. DIALYSIS CARE CENTER BEVERLY LLC NPI is 1497258693. The provider is registered as an organization entity type.

The provider's business location address is:

10801 S WESTERN AVE STE 100
CHICAGO, IL
ZIP 60643-297
Phone: (708) 741-1606
Fax: (708) 741-1609

The provider's authorized official is Morufu Alausa .
The authorized official title is Medical Director and has the following contact phone number (815) 741-6830.

The enumeration date for this NPI number is 3/14/2018 and was last updated on 4/2/2019.

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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