FRESENIUS MEDICAL CARE CHICAGOLAND, LLC


Address: 4008 N Broadway St Ste 1200, Chicago, IL 60613-2111
Phone: 7732483105

FRESENIUS MEDICAL CARE CHICAGOLAND, LLC (NPI# 1184057457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184057457
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE CHICAGOLAND, LLC
Other Organization Name FRESENIUS MEDICAL CARE LAKEVIEW
Practice Address 4008 N Broadway St Ste 1200
Chicago
IL 60613-2111
Practice Telephone 7732483105
Practice Fax Number 7732484691
Mailing Telephone 7732483105
Mailing Fax Number 7732484691
Enumeration Date 2013-08-09
Last Update Date 2020-10-15
Authorized Official Name JAMES J DIVITO (VICE PRESIDENT)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Fresenius Medical Care Lakeview Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649790510 Fresenius Medical Care Chicagoland, LLC Clinic/Center 9924 S Vincennes Avenue, Chicago, IL 60643-1303 2017-06-22
1033644497 Fresenius Medical Care Chicagoland, LLC Clinic/Center 15 E. Independence Drive, Chicago Heights, IL 60411 2017-04-24
1467992651 Fresenius Medical Care Chicagoland, LLC Clinic/Center 8901 S Kedzie Ave, Evergreen Park, IL 60805-1222 2017-03-07
1821533415 Fresenius Medical Care Chicagoland, LLC Clinic/Center 1657 Old Skokie Rd, Highland Park, IL 60035-2349 2017-01-05
1700251451 Fresenius Medical Care Chicagoland, LLC Clinic/Center 4616 S Bishop St, Chicago, IL 60609-3240 2015-12-07
1245606367 Fresenius Medical Care Chicagoland, LLC Clinic/Center 215 S Aberdeen St, Chicago, IL 60607-2901 2015-08-12
1114354826 Fresenius Medical Care Chicagoland, LLC Clinic/Center 132 W 111th St, Chicago, IL 60628-4215 2013-09-27
1356774624 Fresenius Medical Care Chicagoland, LLC Clinic/Center 6633 S Green St., Suite 100, Chicago, IL 60621-1943 2013-08-09
1093148363 Fresenius Medical Care Chicagoland, LLC Clinic/Center 4943 W Belmont Ave, Chicago, IL 60641-4332 2013-08-09
1194158469 Fresenius Medical Care Chicagoland, LLC Clinic/Center 9200 S South Chicago Ave, Chicago, IL 60617-4512 2013-08-09

Office Location

Street Address 4008 N BROADWAY ST STE 1200
City CHICAGO
State IL
Zip Code 60613-2111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588261978 Thorek Radiology Group Nfp Radiology 850 West Irving Park Road, Chicago, IL 60613 2020-10-08
1760034128 Maryellen Karas Lajeunesse Social Worker 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 2019-07-15
1801366430 Stephanie A Dykema Psychologist 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 2018-11-27
1487154191 Alan Tsang Counselor 655 W Irving Park Rd Ste 203, Chicago, IL 60613 2018-02-19
1972015782 Integrated Ortho, LLC. Durable Medical Equipment & Medical Supplies 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 2017-11-02
1073048005 Claire Jolly Social Worker 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 2017-04-27
1730626011 Marc Fagan Psychologist 4101 N Ravenswood Ave., Chicago, IL 60613 2017-01-25
1205385671 Sara Turner Psychologist 3855 N Greenview Ave # 2a, Chicago, IL 60613 2016-09-27
1962955997 Michelle Montero Psychologist 925 W Dakin St Apt 405, Chicago, IL 60613 2016-07-26
1063883494 Athletico, Ltd Physical Therapist 3922 North Sheridan Rd, Chicago, IL 60613 2015-10-12
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629697917 East Oaks Dialysis LLC Clinic/Center 2950 W 26th St, Chicago, IL 60623 2020-04-16
1871146761 Fresenius Medical Care West Metro, LLC Clinic/Center 1044 N Mozart St Ste 3, Chicago, IL 60622-4477 2019-07-19
1487139085 Dunklinson Dialysis LLC Clinic/Center 2640 N Narragansett Ave Ste D8, Chicago, IL 60639-1096 2018-09-28
1154801702 Total Renal Care Inc Clinic/Center 8159 S Cicero Ave, Chicago, IL 60652-2017 2018-08-14
1497258693 Dialysis Care Center Beverly LLC Clinic/Center 10801 S Western Ave Ste 100, Chicago, IL 60643-3297 2018-03-14
1699288092 Itasca Dialysis LLC Clinic/Center 4737 S California Ave, Chicago, IL 60632-2015 2017-11-08
1821507674 Total Renal Care Inc Clinic/Center 4323 N Pulaski Rd, Chicago, IL 60641-2155 2017-09-25
1851813216 Usrc West Chicago, LLC Clinic/Center 112 W 87th St Ste N, Chicago, IL 60620-1318 2017-07-07
1649790510 Fresenius Medical Care Chicagoland, LLC Clinic/Center 9924 S Vincennes Avenue, Chicago, IL 60643-1303 2017-06-22
1548791163 Pawlier Dialysis LLC Clinic/Center 9505 S Colfax Ave, Chicago, IL 60617-4976 2017-03-24
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Competitor

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City CHICAGO
Zip Code 60613

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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