WSKC DIALYSIS SERVICES, INC. (NPI# 1649385493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649385493 |
| Entity Type | Organization |
| Organization Name | WSKC DIALYSIS SERVICES, INC. |
| Other Organization Name | FMC DIALYSIS SERVICES OF CONGRESS PARKWAY |
| Practice Address |
3410 W Van Buren St Chicago IL 60624-3358 |
| Practice Telephone | 7737224245 |
| Practice Fax Number | 7737224268 |
| Mailing Telephone | 7737224245 |
| Mailing Fax Number | 7737224268 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDNGS, 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 |
|---|---|
| FMC DIALYSIS SERVICES OF CONGRESS PARKWAY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538275466 | Wskc Dialysis Services, Inc. | Clinic/Center | 518 N. Austin, 5th Floor, Oak Park, IL 60302-2507 | 2006-08-22 |
| 1760597504 | Wskc Dialysis Services, Inc. | Clinic/Center | 455 Mercy Ln, Aurora, IL 60506-2462 | 2006-08-20 |
| 1922113760 | Wskc Dialysis Services, Inc. | Clinic/Center | 3134 W 76th St, Chicago, IL 60652-1968 | 2006-08-20 |
| 1013022854 | Wskc Dialysis Services, Inc. | Clinic/Center | 733 Madison St, Oak Park, IL 60302-4419 | 2006-08-20 |
| 1104931948 | Wskc Dialysis Services, Inc. | Clinic/Center | 911w North Ave, Melrose Park, IL 60160-1612 | 2006-08-20 |
| 1396850137 | Wskc Dialysis Services, Inc. | Clinic/Center | 12200 Western Ave, Suite 120, Blue Island, IL 60406-1398 | 2006-08-20 |
| 1558476309 | Wskc Dialysis Services, Inc. | Clinic/Center | 130 E Army Trail Rd, Glendale Heights, IL 60139-1647 | 2006-08-20 |
| 1205941044 | Wskc Dialysis Services, Inc. | Clinic/Center | 1806 W. Hubbard St., Chicago, IL 60622-9998 | 2006-08-20 |
| 1588779326 | Wskc Dialysis Services, Inc. | Clinic/Center | 329 Remington Blvd., #110, Bolingbrook, IL 60440-5894 | 2006-08-20 |
| 1932214772 | Wskc Dialysis Services, Inc. | Clinic/Center | 4248 Commercial Way, Glenview, IL 60025-3573 | 2006-08-20 |
| Street Address |
3410 W VAN BUREN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649294117 | Sherfunnissa R. Husain | Internal Medicine | 3410 W Van Buren St, Chicago, IL 60624-3358 | 2006-07-27 |
| 1780158345 | Kassandra N Freeman | Social Worker | 3410 W Van Buren St, Chicago, IL 60624-3358 | 2019-01-17 |
| 1124148366 | Cook County | Clinic/Center | 3410 W Van Buren St, Chicago, IL 60624-3358 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| 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.