FRESENIUS MEDICAL CARE CHICAGOLAND, LLC (NPI# 1194158469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194158469 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE CHICAGOLAND, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE SOUTH CHICAGO |
| Practice Address |
9200 S South Chicago Ave Chicago IL 60617-4512 |
| Practice Telephone | 7737347433 |
| Practice Fax Number | 7737348604 |
| Mailing Telephone | 7737347433 |
| Mailing Fax Number | 7737348604 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | MARK R FAWCETT (VP AND TREASURER) |
| 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 South Chicago | 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 |
| 1184057457 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 4008 N Broadway St Ste 1200, Chicago, IL 60613-2111 | 2013-08-09 |
| Street Address |
9200 S SOUTH CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| 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.