FRESENIUS MEDICAL CARE OF ILLINOIS, LLC (NPI# 1710511399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710511399 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE OF ILLINOIS, LLC |
| Practice Address |
1946 Grand Avenue Granite City IL 62040-4613 |
| Practice Telephone | 6188014845 |
| Practice Fax Number | 6188014850 |
| Mailing Telephone | 6188014845 |
| Mailing Fax Number | 6188014850 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | JAMES JOSEPH 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 Kidney Care Madison County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971333 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 6525 W Main St, Belleville, IL 62223-3703 | 2017-09-12 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1861882227 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 624 Voris-jost Dr., Waterloo, IL 62298-1568 | 2015-01-23 |
| 1578964565 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1657 Old Skokie Valley Rd, Highland Park, IL 60035-2349 | 2014-09-09 |
| 1760761316 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1402 Townline Rd, Mundelein, IL 60060-4433 | 2011-08-15 |
| 1912292533 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 110 N West St, Waukegan, IL 60085-4330 | 2011-06-10 |
| 1043510217 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 219 E 34th St, Steger, IL 60475-1201 | 2010-10-22 |
| 1992032767 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 6201 W 63rd St, Chicago, IL 60638-5009 | 2009-11-15 |
| 1316188956 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 405 Lake Cook Rd Ste A13, Deerfield, IL 60015-5284 | 2009-03-11 |
| 1093955635 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1960 Springer Dr, Lombard, IL 60148-6419 | 2009-02-23 |
| Street Address |
1946 GRAND AVENUE |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| 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 |
|---|---|---|---|---|
| 1326565979 | Total Renal Care Inc | Clinic/Center | 1300 Schaeffer Rd Ste J, Granite City, IL 62040-6859 | 2017-08-24 |
| 1952360703 | Renal Treatment Centers Illinois Inc | Clinic/Center | 9 American Village Shopping Center, Granite City, IL 62040-3706 | 2006-03-21 |
| 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 |
| 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 | GRANITE CITY |
| Zip Code | 62040 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE OF ILLINOIS, 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.