FRESENIUS MEDICAL CARE OF ILLINOIS, LLC


Address: 311 W Depot St, Antioch, IL 60002-1500
Phone: 8473955854

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC (NPI# 1346330842) 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) 1346330842
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
Other Organization Name FRESENIUS MEDICAL CARE OF ANTIOCH
Practice Address 311 W Depot St
Antioch
IL 60002-1500
Practice Telephone 8473955854
Enumeration Date 2006-10-13
Last Update Date 2020-08-22
Authorized Official Name MARK FAWCETT (TREASURER)
Authorized Official Telephone 7814029000
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

Other Provider/Organization Names

Other Name Type Code
FRESENIUS MEDICAL CARE OF ANTIOCH Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710511399 Fresenius Medical Care of Illinois, LLC Clinic/Center 1946 Grand Avenue, Granite City, IL 62040-4613 2020-02-24
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

Office Location

Street Address 311 W DEPOT ST
City ANTIOCH
State IL
Zip Code 60002-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366071524 Emily Slominski Social Worker 311 W Depot St, Antioch, IL 60002-1500 2020-04-08
1215308457 Hope's Playground Pediatric Therapy, Inc. Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2015-10-14
1215306907 Kathrin Lukowicz Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2015-09-23
1205254117 Lindsey Yedinak Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2014-03-29
1154757961 Kelley Semens Occupational Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2013-09-25
1801169800 Alexandra J Dollinger Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2012-02-22
1417246638 Nikole Losch Physical Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2011-03-29
1114248036 Katelyn P Ciszon Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2010-06-15
1710203740 Gina Ann Haldeman Physical Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2010-04-15
1861624363 Amy Lis Dangel Occupational Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2009-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821620345 Kathleen Ann Bleyaert Technician 24238 W. Bayview Rd, Antioch, IL 60002 2020-02-12
1992354385 Pauravi Hefner Developmental Therapist 270 Hickory Lane, Antioch, IL 60002 2019-09-09
1689023558 Shannon Marie Herman Pharmacist 966 Route 59, Antioch, IL 60002 2016-06-10
1992151856 Suchitra Gosavi Physical Therapist 3703west Lake Ave, Suit 200, Glenview, IL 60002 2016-05-10
1336513357 Athletico Ltd Physical Therapist 1122 Main St., Antioch, IL 60002 2015-11-16
1811306335 Jennifer Fitzgerald Massage Therapist 673 Cameron Drive, Antioch, IL 60002 2014-08-08
1114262052 Michael W Silenzi Physical Therapist 543 Orchard Str, Antioch, IL 60002 2012-12-04
1659561678 Expert Home Medical Equipment LLC Durable Medical Equipment & Medical Supplies 40225 N Rt 83, Suite B, Antioch, IL 60002 2007-07-26
1821157769 Robert T Sven,dds,ltd Dentist 439 Lake Street, Antioch, IL 60002 2006-12-06
1447326004 Stanley Jerome Witkiewicz Dentist 715 N Main, Antioch, IL 60002 2006-11-27
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821444258 Total Renal Care Inc Clinic/Center 4040 Lone Tree Way, Antioch, CA 94531-6209 2016-05-04
1972999860 Fresenius Medical Care Lake County, LLC Clinic/Center 311 W Depot St Ste H, Antioch, IL 60002-1500 2015-04-08
1659642072 Dialysis Associates, LLC Clinic/Center 5214 Hickory Hollow Pkwy, Antioch, TN 37013-3082 2012-01-17
1649570292 Fresenius Medical Care Diablo Nephrology Clinics, LLC Clinic/Center 2163 Country Hills Dr, Antioch, CA 94509-7435 2010-10-29
1912019712 Bio-medical Applications of California, Inc. Clinic/Center 2386 Buchanan Rd, Antioch, CA 94509-4411 2006-08-31
1306805296 Total Renal Care Inc Clinic/Center 3100 Delta Fair Blvd, Antioch, CA 94509-4001 2006-03-21
1528213261 Fresenius Medical Care Diablo Nephrology Clinics LLC Clinic/Center 2386 Buchanan Rd, Antioch, CA 94509-4411 2008-11-21

Providers in the same taxonomy and state

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
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Competitor

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City ANTIOCH
Zip Code 60002

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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