BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC. (NPI# 1720193584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720193584 |
| Entity Type | Organization |
| Organization Name | BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC. |
| Other Organization Name | FRESENIUS MEDICAL CARE CARBONDALE |
| Practice Address |
1425 E. Main Street Carbondale IL 62901-3344 |
| Practice Telephone | 6185292112 |
| Practice Fax Number | 6184578905 |
| Mailing Telephone | 6185292112 |
| Mailing Fax Number | 6184578905 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | MARK R FAWCETT (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 Carbondale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801901640 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 275 Small St, Harrisburg, IL 62946-3352 | 2006-08-20 |
| 1902911753 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 4811 W 77th St, Burbank, IL 60459-1586 | 2006-08-20 |
| 1518072354 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 825 Sunset Ave, Du Quoin, IL 62832-1913 | 2006-08-20 |
| 1508971342 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 900 Skyline Dr, Suite 200, Marion, IL 62959-4972 | 2006-08-20 |
| 1891800637 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 7332 N Milwaukee Ave, Niles, IL 60714-4339 | 2006-08-20 |
| 1083729826 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 4943 West Belmont Ave., Chicago, IL 60641-4332 | 2006-08-20 |
| 1710093646 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 7 Professional Dr, Alton, IL 62002-5067 | 2006-08-22 |
| 1265547004 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 102 Memorial Dr, Chester, IL 62233-1470 | 2006-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC. | 920 Winter St, Waltham, MA 02451 |
| Street Address |
1425 E. MAIN STREET |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 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 | CARBONDALE |
| Zip Code | 62901 |
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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.