DUNKLINSON DIALYSIS LLC


Address: 2640 N Narragansett Ave Ste D8, Chicago, IL 60639-1096
Phone: 7736226345

DUNKLINSON DIALYSIS LLC (NPI# 1487139085) 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) 1487139085
Entity Type Organization
Organization Name DUNKLINSON DIALYSIS LLC
Other Organization Name BRICKYARD DIALYSIS
Practice Address 2640 N Narragansett Ave Ste D8
Chicago
IL 60639-1096
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 7736226345
Practice Fax Number 7736226470
Mailing Telephone 6152383136
Enumeration Date 2018-09-28
Last Update Date 2018-10-05
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
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
Brickyard Dialysis Doing Business As Name - Organization

Office Location

Street Address 2640 N NARRAGANSETT AVE STE D8
City CHICAGO
State IL
Zip Code 60639-1096

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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...

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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
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1851813216 Usrc West Chicago, LLC Clinic/Center 112 W 87th St Ste N, Chicago, IL 60620-1318 2017-07-07
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Competitor

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City CHICAGO
Zip Code 60639

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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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