FRESENIUS MEDICAL CARE (NPI# 1770793713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770793713 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE |
| Practice Address |
9730 S Western Ave Suite150 Evergreen Pk IL 60805-2814 |
| Practice Telephone | 7084238833 |
| Mailing Telephone | 7084238833 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MRS. NANCY J LISAK (CLINIC MANAGER) |
| Authorized Official Telephone | 7084238833 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962643205 | Fresenius Medical Care | Health Maintenance Organization | 10585 North Meridian St. Suite 160, Indianapolis, IN 46290-1066 | 2009-03-17 |
| 1790137578 | Fresenius Medical Care | Preferred Provider Organization | 920 Winter St, Waltham, MA 02451-1521 | 2016-07-06 |
| 1366513954 | Fresenius Medical Care | Clinic/Center | 7170 W 20th Ave, Hialeah, FL 33016-1849 | 2006-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE | 4040 Nelson Ave, Concord, CA 94520-1200 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE - JAX BEACH DIALYSIS | 1711 5th St S, Jacksonville Beach, FL 32250-4040 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE - NEBRASKA HOME DIALYSIS | 2916 S 84th St, Omaha, NE 68124-3213 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE - POPLAR BLUFF WEST | 3050 Tucker Rd, Poplar Bluff, MO 63901-7527 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE - WEST HINDS COUNTY | 105 Johnston Pl, Clinton, MS 39056-5911 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE -SMKC-DIAMONDHEAD | 5401 Gex Rd, Diamondhead, MS 39525-3208 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE ABEMARLE | 203 Northeast Connector, Albemarle, NC 28001-6720 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE ABILENE | 1802 Pine St, Abilene, TX 79601-2430 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE ACWORTH | 3372 Acworth Summit Blvd Nw, Acworth, GA 30101-5770 |
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE ADRIAN | 715 Lakeshire Trl, Adrian, MI 49221-1561 |
| Street Address |
9730 S WESTERN AVE SUITE150 |
| City | EVERGREEN PK |
| State | IL |
| Zip Code | 60805-2814 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PK |
| Zip Code | 60805 |
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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.