SEASONS DIALYSIS LLC (NPI# 1316293269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316293269 |
Entity Type | Organization |
Organization Name | SEASONS DIALYSIS LLC |
Other Organization Name | CRYSTAL SPRINGS DIALYSIS |
Practice Address |
720 Cog Cir Crystal Lake IL 60014-7301 |
Mailing Address |
5200 Virginia Way Licensure and Certification Brentwood TN 37027-7569 |
Practice Telephone | 8154594945 |
Practice Fax Number | 8154594836 |
Mailing Telephone | 6153416657 |
Mailing Fax Number | 8666519495 |
Enumeration Date | 2012-07-30 |
Last Update Date | 2012-07-30 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2532809501 |
Is Organization Subpart | N |
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 |
---|---|
Crystal Springs Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619390143 | Seasons Dialysis LLC | Clinic/Center | 2000 Crawford St, Ste 777, Houston, TX 77002-9000 | 2014-02-04 |
Street Address |
720 COG CIR |
City | CRYSTAL LAKE |
State | IL |
Zip Code | 60014-7301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114316288 | Total Renal Care Inc | Clinic/Center | 720 Cog Cir, Suite A, Crystal Lake, IL 60014-7301 | 2015-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
Find all providers in zip 60014 |
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 |
---|---|---|---|---|
1326388489 | Home Dialysis Service Elgin LLC | Clinic/Center | 440 N Il Route 31, Crystal Lake, IL 60012-3709 | 2013-02-26 |
1073826392 | Total Renal Care Inc | Clinic/Center | 720 Cog Circle, Crystal Lake, IL 60014-7301 | 2010-07-15 |
1184660052 | Ara-crystal Lake Dialysis LLC | Clinic/Center | 6298 Northwest Hwy, Suite 300, Crystal Lake, IL 60014-7933 | 2006-06-21 |
1497703136 | Sherman Hospital | Clinic/Center | 4900 South Route 31, Crystal Lake, IL 60012 | 2006-05-05 |
1114316288 | Total Renal Care Inc | Clinic/Center | 720 Cog Cir, Suite A, Crystal Lake, IL 60014-7301 | 2015-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550486 | Home Dialysis & Kidney Care Limited | Clinic/Center | 1252 Ogden Ave Ste D, Downers Grove, IL 60515-2740 | 2020-08-28 |
1922619824 | Dialysis Care Center Evergreen Park LLC | Clinic/Center | 9834 S Kedzie Ave, Evergreen Park, IL 60805-3135 | 2020-08-13 |
1558970525 | Concerto Massachusetts LLC | Clinic/Center | 4600 W Touhy Ave Ste 100, Lincolnwood, IL 60712-1606 | 2020-07-27 |
1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
1376162735 | Hopkinton Dialysis LLC | Clinic/Center | 6001 W Ogden Ave, Cicero, IL 60804-3739 | 2020-04-15 |
1710511399 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1946 Grand Avenue, Granite City, IL 62040-4613 | 2020-02-24 |
1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
1033741608 | Fresenius Medical Care New Lenox, LLC | Clinic/Center | 662 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2020-02-11 |
1730725904 | Perryton Dialysis LLC | Clinic/Center | 8604 Woodward Ave, Woodridge, IL 60517-3171 | 2019-11-22 |
1124678529 | Dialyze Direct Il LLC | Clinic/Center | 410 S Heinlein Dr, Shelbyville, IL 62565-7800 | 2019-09-17 |
Find all providers with the same taxonomy |
City | CRYSTAL LAKE |
Zip Code | 60014 |
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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.