KIDNEY CARE CENTER GRAYSLAKE LLC


Address: 755 S Milwaukee Ave, Suite 262, Libertyville, IL 60048-3253
Phone: 2242067253

KIDNEY CARE CENTER GRAYSLAKE LLC (NPI# 1821463431) 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) 1821463431
Entity Type Organization
Organization Name KIDNEY CARE CENTER GRAYSLAKE LLC
Practice Address 755 S Milwaukee Ave
Suite 262
Libertyville
IL 60048-3253
Mailing Address Po Box 3877
Joliet
IL 60434-3877
Practice Telephone 2242067253
Practice Fax Number 2244244143
Mailing Telephone 8157416830
Mailing Fax Number 8157416832
Enumeration Date 2015-12-08
Last Update Date 2016-09-08
Authorized Official Name DR. MORUFU ALAUSA (MEDICAL DIRECTOR)
Authorized Official Telephone 8157416830
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Office Location

Street Address 755 S MILWAUKEE AVE
SUITE 262
City LIBERTYVILLE
State IL
Zip Code 60048-3253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396744348 Thomas Norman Porter Urology 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3253 2005-07-20
1588929525 Opioid Addiction Recovery Services PC Internal Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2012-07-05
1154648798 Linda Schmeisser Hearing Instrument Specialist 755 S Milwaukee Ave, Suite 189, Libertyville, IL 60048-3253 2010-04-21
1104075993 Rebecca Seymour Physical Therapist 755 S Milwaukee Ave, Suite 283, Libertyville, IL 60048-3253 2008-09-16
1558533539 Ronald L Freeman, M.d., S.c. Ophthalmology 755 S Milwaukee Ave, Suite 150, Libertyville, IL 60048-3253 2008-03-30
1912181744 Hosam Zakariya M.d.,s.c. Clinic/Center 755 S Milwaukee Ave, Suite 181, Libertyville, IL 60048-3253 2007-12-28
1053500801 Thomas N Porter Md Sc Urology 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3266 2007-10-17
1073706685 Thomas H Burnstine, M.d.,s.c. Specialist 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 2007-08-27
1831391143 Sharon W Wong Md S.c. Clinic/Center 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 2007-05-31
1922152131 Adam Rubinstein Md Sc Internal Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2007-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134340854 Advanced Peritoneal Dialysis Center Internal Medicine 1880 W Winchester Rd Ste 106, Libertyville, IL 60048-5321 2007-05-01
1548217144 Joshua Robert Trob Internal Medicine 1272 American Way, Libertyville, IL 60048-3936 2006-05-28
1083933006 Nephrology Specialists Sc Internal Medicine 1272 American Way, Libertyville, IL 60048-3936 2010-06-01
1548476773 Maria S. Khan Internal Medicine 1272 American Way, Libertyville, IL 60048 2007-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154987618 Kireet Agrawal Incorporated Internal Medicine 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 2019-05-10
1235627332 Chicago Nephrology Associates, LLC Internal Medicine 3023 N Clark St #302, Chicago, IL 60657 2018-04-25
1619328820 Nay Seif Internal Medicine 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 2016-06-29
1447611389 Skyline Medical Associates LLC Internal Medicine 100 E 14th St Apt 1907, Chicago, IL 60605-3673 2016-03-18
1013301605 Anand Ramadorai Internal Medicine 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 2015-03-23
1578955654 R. Gandhi Md S C Internal Medicine 602 N East Ave, Oak Park, IL 60302-1716 2015-02-25
1619389715 Kidney Care Center Olympia Fields LLC Internal Medicine 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 2014-05-22
1548687783 Salim Mujais Internal Medicine 2742 The Mews, Northbrook, IL 60062-2617 2014-03-26
1972936581 Marshall David Lindheimer Internal Medicine 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 2013-08-19
1649616822 Bun Siu L. Co Internal Medicine 838 Highland Rd., Frankfort, IL 60423 2013-05-15
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City LIBERTYVILLE
Zip Code 60048

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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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