FRESENIUS MEDICAL CARE OF ILLINOIS, LLC (NPI# 1376726497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376726497 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE OF ILLINOIS, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE ROSELAND |
| Practice Address |
132 W. 111th Street Chicago IL 60628-4215 |
| Practice Telephone | 7739951783 |
| Mailing Telephone | 7739951783 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | MARK 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 Roseland | Doing Business As Name - Organization |
| 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 |
| Street Address |
132 W. 111TH STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| 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 |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1871146761 | Fresenius Medical Care West Metro, LLC | Clinic/Center | 1044 N Mozart St Ste 3, Chicago, IL 60622-4477 | 2019-07-19 |
| 1487139085 | Dunklinson Dialysis LLC | Clinic/Center | 2640 N Narragansett Ave Ste D8, Chicago, IL 60639-1096 | 2018-09-28 |
| 1154801702 | Total Renal Care Inc | Clinic/Center | 8159 S Cicero Ave, Chicago, IL 60652-2017 | 2018-08-14 |
| 1497258693 | Dialysis Care Center Beverly LLC | Clinic/Center | 10801 S Western Ave Ste 100, Chicago, IL 60643-3297 | 2018-03-14 |
| 1699288092 | Itasca Dialysis LLC | Clinic/Center | 4737 S California Ave, Chicago, IL 60632-2015 | 2017-11-08 |
| 1821507674 | Total Renal Care Inc | Clinic/Center | 4323 N Pulaski Rd, Chicago, IL 60641-2155 | 2017-09-25 |
| 1851813216 | Usrc West Chicago, LLC | Clinic/Center | 112 W 87th St Ste N, Chicago, IL 60620-1318 | 2017-07-07 |
| 1649790510 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 9924 S Vincennes Avenue, Chicago, IL 60643-1303 | 2017-06-22 |
| 1548791163 | Pawlier Dialysis LLC | Clinic/Center | 9505 S Colfax Ave, Chicago, IL 60617-4976 | 2017-03-24 |
| Find all providers in CHICAGO | ||||
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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.