PAWLIER DIALYSIS LLC


Address: 9505 S Colfax Ave, Chicago, IL 60617-4976
Phone: 7739785446

PAWLIER DIALYSIS LLC (NPI# 1548791163) 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) 1548791163
Entity Type Organization
Organization Name PAWLIER DIALYSIS LLC
Other Organization Name PARK MANOR DIALYSIS
Practice Address 9505 S Colfax Ave
Chicago
IL 60617-4976
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 7739785446
Practice Fax Number 7739785549
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2017-03-24
Last Update Date 2019-10-04
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537335200
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
Park Manor Dialysis Doing Business As Name - Organization

Office Location

Street Address 9505 S COLFAX AVE
City CHICAGO
State IL
Zip Code 60617-4976

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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
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
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
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Competitor

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City CHICAGO
Zip Code 60617

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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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