TOTAL RENAL CARE INC NPI 1730488214

NPI Information

NPI: 1730488214
Provider Name: TOTAL RENAL CARE INC

Doing Business As: GRAND CROSSING DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2023960

Address:
7319 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60619
Phone: (773) 783-3491
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. TOTAL RENAL CARE INC NPI is 1730488214. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Crossing Dialysis.

The provider's business location address is:

7319 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60619-909
Phone: (773) 783-3491
Fax: (773) 783-6046

The provider's authorized official is John D 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 14D2023960 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2011 and was last updated on 11/11/2021.

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 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

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