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).
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. |
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 Name | Type Code |
---|---|
Fresenius Medical Care Lakeview | Doing Business As Name - Organization |
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 |
Street Address |
4008 N BROADWAY ST STE 1200 |
City | CHICAGO |
State | IL |
Zip Code | 60613-2111 |
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 |
Find all providers in zip 60613 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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 |
Find all providers in CHICAGO |
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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.