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FRESENIUS MEDICAL CARE CHICAGOLAND LLC NPI 1821421199


NPI Information

NPI: 1821421199
Provider Name: FRESENIUS MEDICAL CARE CHICAGOLAND, LLC

Doing Business As: FRESENIUS MEDICAL CARE SOUTH SHORE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D0709506

Address:
2420 E 79TH ST
CHICAGO, IL
ZIP 60649
Phone: (773) 374-9002
Get Directions

FRESENIUS MEDICAL CARE CHICAGOLAND, LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. FRESENIUS MEDICAL CARE CHICAGOLAND, LLC NPI is 1821421199. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care South Shore.

The provider's business location address is:

2420 E 79TH ST
CHICAGO, IL
ZIP 60649-112
Phone: (773) 374-9002
Fax: (773) 374-7115

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 CLIA number assigned to this NPI record is 14D0709506 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2013 and was last updated on 8/30/2021.


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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