USRC WEST CHICAGO, LLC


Address: 112 W 87th St Ste N, Chicago, IL 60620-1318
Phone: 7088312601

USRC WEST CHICAGO, LLC (NPI# 1851813216) 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) 1851813216
Entity Type Organization
Organization Name USRC WEST CHICAGO, LLC
Other Organization Name US RENAL CARE WEST CHICAGO DIALYSIS
Practice Address 112 W 87th St Ste N
Chicago
IL 60620-1318
Mailing Address Po Box 251549
Plano
TX 75025-1500
Practice Telephone 7088312601
Practice Fax Number 7088312602
Mailing Telephone 2147362700
Enumeration Date 2017-07-07
Last Update Date 2017-07-07
Authorized Official Name THOMAS L. WEINBERG (CHAIRMAN, AUTHORIZED OFFICIAL)
Authorized Official Telephone 2147362700
Is Organization Subpart Y
Parent Organization Name US RENAL CARE, 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
US RENAL CARE WEST CHICAGO DIALYSIS Doing Business As Name - Organization

Office Location

Street Address 112 W 87TH ST STE N
City CHICAGO
State IL
Zip Code 60620-1318

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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...

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Competitor

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City CHICAGO
Zip Code 60620

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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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