KIDNEY CARE ASSOCIATES LLC. (NPI# 1780996603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780996603 |
| Entity Type | Organization |
| Organization Name | KIDNEY CARE ASSOCIATES LLC. |
| Practice Address |
12807 Falcon Ct Lemont IL 60439-7300 |
| Practice Telephone | 6306971414 |
| Practice Fax Number | 8157416832 |
| Mailing Telephone | 6306971414 |
| Mailing Fax Number | 8157416832 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | DR. MORUFU OLATUNJI ALAUSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6306971414 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
IL | Ambulatory Health Care Facilities |
| Street Address |
12807 FALCON CT |
| City | LEMONT |
| State | IL |
| Zip Code | 60439-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377916 | Stephanie Ann Size | Nurse Practitioner | 135th St & New Avenue, Lemont, IL 60439 | 2018-08-27 |
| 1093267544 | Blayne Denise Yarmat | Specialist/Technologist | 15822 132nd St, Lemont, IL 60439 | 2016-11-01 |
| 1720448848 | Fresenius Medical Care Lemont, LLC | Clinic/Center | 16177 W 127th Street, Lemont, IL 60439 | 2016-03-02 |
| 1629341433 | Autism Behavior & Childhood Service, Inc. | Community/Behavioral Health | 13664 Anne Drive, Lemont, IL 60439 | 2012-02-10 |
| 1295016186 | Frank James Enright II | Pharmacist | 15575 127th Street, Lemont, IL 60439 | 2011-09-06 |
| 1457632804 | Sherry A O'malley | Pharmacist | 15575 W 127th St, Lemont, IL 60439 | 2011-08-30 |
| 1093017394 | Cristy M Calderon | Behavioral Analyst | 13664 Anne Dr, Lemont, IL 60439 | 2010-11-19 |
| 1902119068 | Dr Jean Garbolski and Associates | Family Medicine | 14232 Mccarthy Road, Lemont, IL 60439 | 2010-07-19 |
| 1356660278 | Chongyang Li | Registered Nurse | 20 W 214 Meadow Ln, Lemont, IL 60439 | 2010-05-18 |
| 1972768935 | Jennifer L. Splitt-krull | Dentist | 160-b East Wend Street, Lemont, IL 60439 | 2008-07-18 |
| Find all providers in zip 60439 | ||||
| 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 |
|---|---|---|---|---|
| 1720448848 | Fresenius Medical Care Lemont, LLC | Clinic/Center | 16177 W 127th Street, Lemont, IL 60439 | 2016-03-02 |
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|---|---|---|---|---|
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| 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.