CAGLES DIALYSIS LLC NPI 1629466339

NPI Information

NPI: 1629466339
Provider Name: CAGLES DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: CHICAGO RIDGE DIALYSIS
CLIA Number: 14D2093383
Address: 10511 S HARLEM AVE
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 361-2863

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NPI Details

CAGLES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago Ridge, IL. CAGLES DIALYSIS LLC NPI is 1629466339. The provider is registered as an organization entity type.
The provider Is Doing Business As Chicago Ridge Dialysis.

The provider's business location address is:

10511 S HARLEM AVE
CHICAGO RIDGE, IL
ZIP 60415-291
Phone: (708) 361-2863
Fax: (708) 361-2954

The provider's authorized official is John 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 14D2093383 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 3/27/2023.

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: 11/21/2025

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