FRESENIUS MEDICAL CARE OF ILLINOIS, LLC


Address: 6525 W Main St, Belleville, IL 62223-3703
Phone: 6183988181

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC (NPI# 1467971333) 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) 1467971333
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
Other Organization Name FRESENIUS KIDNEY CARE BELLEVILLE
Practice Address 6525 W Main St
Belleville
IL 62223-3703
Practice Telephone 6183988181
Enumeration Date 2017-09-12
Last Update Date 2017-09-12
Authorized Official Name MARK FAWCETT (SENIOR VICE PRESIDENT & TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

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 Kidney Care Belleville 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
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
1093955635 Fresenius Medical Care of Illinois, LLC Clinic/Center 1960 Springer Dr, Lombard, IL 60148-6419 2009-02-23

Office Location

Street Address 6525 W MAIN ST
City BELLEVILLE
State IL
Zip Code 62223-3703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699211268 Vip Home Health Services, LLC Home Health 9454 West Main Street Suite B, Belleville, IL 62223 2017-01-06
1659746063 Carmel Brown Counselor 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 2015-12-10
1558743138 Patrick Nakashima-moran Family Medicine 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 2015-06-19
1982039921 Megan Nicole Kirk Counselor 8601 W Main St Ste 201, Belleville, IL 62223 2013-09-10
1043555758 Toni Green Physical Therapy Assistant 400 S 74th St, Belleville, IL 62223 2012-12-06
1356626949 Christopher Patrick Gagen Pharmacist 5890 North Belt West, Belleville, IL 62223 2011-10-15
1861777690 Carmicheal LLC General Practice 8601 West Main St., Ste. 101, Belleville, IL 62223 2011-10-12
1275824096 Pc Associates LLC Family Medicine 2129 W. Main St., Belleville, IL 62223 2011-04-27
1053616763 Abdurrahim M Abdulhadi Anesthesiology 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 2011-01-12
1801031695 Jose Jesus Morales Anesthesiology 204 Warrensburg Drive, Belleville, IL 62223 2008-12-08
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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
1326558529 Fresenius Medical Care Belleville, LLC Clinic/Center 36 Newark Ave Ste 304, Belleville, NJ 07109-4121 2017-10-03
1871848895 Total Renal Care Inc Clinic/Center 1095 N Green Mount Rd, Belleville, IL 62221-3303 2012-07-16
1194943878 Nutley Kidney Clinic LLC Clinic/Center 500 Cortlandt St, Belleville, NJ 07109-3331 2007-04-20
1063860724 Belleville Kidney Clinic, LLC Clinic/Center 500 Cortlandt St, Belleville, NJ 07109-3331 2016-06-02
1588633812 Renal Life Link Inc Clinic/Center 5105 W Main St, Belleville, IL 62226 2006-03-17

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 BELLEVILLE
Zip Code 62223

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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