WELLBOUND OF EVANSTON LLC (NPI# 1528140712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528140712 |
| Entity Type | Organization |
| Organization Name | WELLBOUND OF EVANSTON LLC |
| Other Organization Name | WELLBOUND OF EVANSTON |
| Practice Address |
8950 Gross Point Rd Skokie IL 60077-1860 |
| Mailing Address |
300 Santana Row Suite 300 San Jose CA 95128-2423 |
| Practice Telephone | 8479651901 |
| Practice Fax Number | 8479651952 |
| Mailing Telephone | 8479651901 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | SUSAN L DEL BENE (SECRETARY/CFO) |
| Authorized Official Telephone | 6504043618 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLBOUND LLC |
| 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 |
|---|---|
| WellBound of Evanston | Doing Business As Name - Organization |
| Street Address |
8950 GROSS POINT RD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013974 | Crs Rehabilitation Specialists of Skokie | Clinic/Center | 8950 Gross Point Rd, Suite D, Skokie, IL 60077-1860 | 2005-09-19 |
| 1578817003 | Irma E Funes | Nurse Practitioner | 8950 Gross Point Rd, Ste. 300, Skokie, IL 60077-1886 | 2012-11-06 |
| 1346402708 | Regal Home Healthcare, Inc. | Home Health | 8950 Gross Point Rd, Suite 100, Skokie, IL 60077-1860 | 2008-06-26 |
| 1285776997 | Mary Oleszek | Speech-Language Pathologist | 8950 Gross Point Rd, Suite D, Skokie, IL 60077-1860 | 2007-02-12 |
| 1992841472 | Victorya Korobov | Occupational Therapist | 8950 Gross Point Rd, Suite D, Skokie, IL 60077-1860 | 2007-01-30 |
| 1528114618 | Steven James Diclemente | Physical Therapist | 8950 Gross Point Rd, Skokie, IL 60077-1860 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| 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 |
|---|---|---|---|---|
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1063527810 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9801 Woods Dr, Skokie, IL 60077-1074 | 2006-08-20 |
| 1871889758 | Aa Healthcare Dialysis LLC | Clinic/Center | 8320 Skokie Blvd, Skokie, IL 60077-2545 | 2011-06-20 |
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|---|---|---|---|---|
| 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 | ||||
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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.