MEDICAL DISTRICT HOME DIALYSIS LLC (NPI# 1780075010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780075010 |
| Entity Type | Organization |
| Organization Name | MEDICAL DISTRICT HOME DIALYSIS LLC |
| Practice Address |
1501 S California Ave Suite 119 Chicago IL 60608-1732 |
| Practice Telephone | 7732576642 |
| Mailing Telephone | 7732576642 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | CHARLES WEIS (CFO) |
| Authorized Official Telephone | 7732576642 |
| Is Organization Subpart | N |
| 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 |
| Street Address |
1501 S CALIFORNIA AVE SUITE 119 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118856 | Robert C Parker | Internal Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-07-14 |
| 1568094803 | Klaudia Magdalena Gwozdz | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2020-02-05 |
| 1578036422 | Britney Kummerer | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2019-01-03 |
| 1114405164 | Katya Tapia | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-08-01 |
| 1487140166 | Rayman Johal | Family Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-07-06 |
| 1871092940 | Maruf Yinusa | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-02-05 |
| 1114456134 | Joanna Villacorta Griffin | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2017-06-05 |
| 1982149159 | Carmen Murillo | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-12-27 |
| 1558819821 | Man Ye | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-09-15 |
| 1285180430 | Emily Arlene Grace | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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.