FRESENIUS MEDICAL CARE CHICAGOLAND, LLC


Address: 9924 S Vincennes Avenue, Chicago, IL 60643-1303
Phone: 7732394362

FRESENIUS MEDICAL CARE CHICAGOLAND, LLC (NPI# 1649790510) 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) 1649790510
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE CHICAGOLAND, LLC
Other Organization Name FRESENIUS MEDICAL CARE BEVERLY RIDGE
Practice Address 9924 S Vincennes Avenue
Chicago
IL 60643-1303
Practice Telephone 7732394362
Practice Fax Number 7732394393
Mailing Telephone 7732394362
Mailing Fax Number 7732394393
Enumeration Date 2017-06-22
Last Update Date 2020-09-14
Authorized Official Name JAMES J DIVITO (VICE PRESIDENT)
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 Medical Care Beverly Ridge Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
9228 S Vincennes, Chicago, IL 606439827 (773) 239-4362 7732394393

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033644497 Fresenius Medical Care Chicagoland, LLC Clinic/Center 15 E. Independence Drive, Chicago Heights, IL 60411 2017-04-24
1467992651 Fresenius Medical Care Chicagoland, LLC Clinic/Center 8901 S Kedzie Ave, Evergreen Park, IL 60805-1222 2017-03-07
1821533415 Fresenius Medical Care Chicagoland, LLC Clinic/Center 1657 Old Skokie Rd, Highland Park, IL 60035-2349 2017-01-05
1700251451 Fresenius Medical Care Chicagoland, LLC Clinic/Center 4616 S Bishop St, Chicago, IL 60609-3240 2015-12-07
1245606367 Fresenius Medical Care Chicagoland, LLC Clinic/Center 215 S Aberdeen St, Chicago, IL 60607-2901 2015-08-12
1114354826 Fresenius Medical Care Chicagoland, LLC Clinic/Center 132 W 111th St, Chicago, IL 60628-4215 2013-09-27
1356774624 Fresenius Medical Care Chicagoland, LLC Clinic/Center 6633 S Green St., Suite 100, Chicago, IL 60621-1943 2013-08-09
1093148363 Fresenius Medical Care Chicagoland, LLC Clinic/Center 4943 W Belmont Ave, Chicago, IL 60641-4332 2013-08-09
1194158469 Fresenius Medical Care Chicagoland, LLC Clinic/Center 9200 S South Chicago Ave, Chicago, IL 60617-4512 2013-08-09
1184057457 Fresenius Medical Care Chicagoland, LLC Clinic/Center 4008 N Broadway St Ste 1200, Chicago, IL 60613-2111 2013-08-09

Office Location

Street Address 9924 S VINCENNES AVENUE
City CHICAGO
State IL
Zip Code 60643-1303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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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
1548791163 Pawlier Dialysis LLC Clinic/Center 9505 S Colfax Ave, Chicago, IL 60617-4976 2017-03-24
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 60643

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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