CHANNAHON HOME DIALYSIS, LLC


Address: 27025 W Eames St, Channahon, IL 60410-5619
Phone: 8157445550

CHANNAHON HOME DIALYSIS, LLC (NPI# 1174015796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174015796
Entity Type Organization
Organization Name CHANNAHON HOME DIALYSIS, LLC
Practice Address 27025 W Eames St
Channahon
IL 60410-5619
Mailing Address 3100 Theodore St
Joliet
IL 60435-8534
Practice Telephone 8157445550
Mailing Telephone 8157445550
Enumeration Date 2018-05-30
Last Update Date 2019-06-03
Authorized Official Name DEBRA LEE JANSSEN (ADMINSITRATOR)
Authorized Official Telephone 8157445550
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 27025 W EAMES ST
City CHANNAHON
State IL
Zip Code 60410-5619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164852117 Sarah K Freeburg Physician Assistant 27025 W Eames St, Unit B, Channahon, IL 60410-5619 2013-11-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841792801 Rhonda Richter Health Educator 24735 W. Eames St., Channahon, IL 60410 2018-03-06
1144513938 Channahon Dui Services, LLC Early Intervention Provider Agency 23157 Thomas Dillon Drive, Channahon, IL 60410 2011-05-26
1205057452 Brian Morrow Physical Therapist 26555 South Jacob Drive, Channahon, IL 60410 2007-05-02
1356567531 Alvaro Pedraza Family Medicine 25220 W. Reed St., Channahon, IL 60410 2007-04-17
1548338320 Kevin Breen Dentist 25206 W Reed St, Channahon, IL 60410 2006-12-01
1194811943 Gustavo A Pedraza Internal Medicine 25220 W Reed St, Channahon, IL 60410 2006-10-05
1275648511 Morris Hospital Clinic/Center 25259 S Reed St, Channahon, IL 60410 2006-08-19
1184686909 Nuzhat Chalisa Internal Medicine 25259 Reed Street, Channahon, IL 60410 2006-04-05
1558594580 Paula Susan Fillak Dentist 25214 W Reed St, Channahon, IL 60410 2009-08-25
1801823059 Anna Piper Emergency Medicine 27240 W Saxony Dr, Channahon, IL 60410 2006-06-26
Find all providers in zip 60410

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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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
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Competitor

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City CHANNAHON
Zip Code 60410

Improve Information

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Dataset Information

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.

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