FRESENIUS MEDICAL CARE CHICAGOLAND, LLC (NPI# 1669805933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669805933 |
Entity Type | Organization |
Organization Name | FRESENIUS MEDICAL CARE CHICAGOLAND, LLC |
Other Organization Name | FRESENIUS MEDICAL CARE EVERGREEN PARK |
Practice Address |
9730 S Western Ave Evergreen Park IL 60805-2814 |
Practice Telephone | 7084238833 |
Practice Fax Number | 7084230689 |
Mailing Telephone | 7084238833 |
Mailing Fax Number | 7084230689 |
Enumeration Date | 2013-08-09 |
Last Update Date | 2013-10-23 |
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 Evergreen Park | 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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | FRESENIUS MEDICAL CARE CHICAGOLAND, LLC | 920 Winter St, Waltham, MA 02451 |
Street Address |
9730 S WESTERN AVE |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-2814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174515035 | Anita Iyer | Obstetrics & Gynecology | 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 | 2005-08-17 |
1043790017 | Tammie Denise Walker | Social Worker | 9730 S Western Ave, Evergreen Park, IL 60805-2814 | 2018-08-18 |
1306385398 | Samantha Louise Allen | Social Worker | 9730 S Western Ave, Evergreen Park, IL 60805 | 2017-02-23 |
1700266566 | Central Regional Laboratories, LLC | Clinical Medical Laboratory | 9730 S Western Ave, Suite 706, Evergreen Park, IL 60805-2814 | 2015-06-05 |
1457529943 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 9730 S Western Ave, Ckd Services of Evergreen Park, Evergreen Park, IL 60805-2814 | 2008-02-19 |
1629254156 | Ari Financial Services | Home Health | 9730 S Western Ave, 712, Evergreen Park, IL 60805-2814 | 2008-01-15 |
1396938783 | Optimum Home Health Care Inc | Home Health | 9730 S Western Ave, Suite 710, Evergreen Park, IL 60805-2672 | 2007-08-20 |
1881717288 | Vida Bernadette Dyson | Psychologist | 9730 S Western Ave, Suite 627, Evergreen Park, IL 60805-2814 | 2007-04-09 |
1821122029 | Valentin Berman Md PC | Psychologist | 9730 S Western Ave, Suit 729, Evergreen Park, IL 60805 | 2007-03-16 |
1164577920 | Donna J. Calvin | Nurse Practitioner | 9730 S Western Ave, Neomedica Evergreen Park - Ckd Services, Evergreen Park, IL 60805-2814 | 2007-01-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
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 |
---|---|---|---|---|
1922619824 | Dialysis Care Center Evergreen Park LLC | Clinic/Center | 9834 S Kedzie Ave, Evergreen Park, IL 60805-3135 | 2020-08-13 |
1467992651 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 8901 S Kedzie Ave, Evergreen Park, IL 60805-1222 | 2017-03-07 |
1265540181 | National Medical Care, Inc. | Clinic/Center | 9730 S Western Avenue, Evergreen Park, IL 60805-2814 | 2006-08-29 |
1457529943 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 9730 S Western Ave, Ckd Services of Evergreen Park, Evergreen Park, IL 60805-2814 | 2008-02-19 |
1952356453 | National Medical Care Inc. | Clinic/Center | 9730 S Western Ave, Evergreen Park, IL 60805-2814 | 2006-05-23 |
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 |
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 |
1609425651 | Joliet Dialysis LLC | Clinic/Center | 214 Collins St, Joliet, IL 60432-2919 | 2019-09-11 |
Find all providers with the same taxonomy |
City | EVERGREEN PARK |
Zip Code | 60805 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE CHICAGOLAND, LLC.
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.