NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC (NPI# 1861733503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861733503 |
Entity Type | Organization |
Organization Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC |
Practice Address |
201 E Huron St Suite 12-240 Chicago IL 60611-3197 |
Mailing Address |
1 World Trade Ctr Ste 2500 Long Beach CA 90831-0002 |
Practice Telephone | 3124725200 |
Practice Fax Number | 3124725201 |
Mailing Telephone | 5624958075 |
Mailing Fax Number | 5624958076 |
Enumeration Date | 2013-03-05 |
Last Update Date | 2014-03-18 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362730 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, 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 |
Street Address |
201 E HURON ST SUITE 12-240 |
City | CHICAGO |
State | IL |
Zip Code | 60611-3197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295732857 | Michael Mark Minieka | Psychiatry & Neurology | 201 E Huron St, Ste 11-100, Chicago, IL 60611-2968 | 2005-06-28 |
1568920981 | Lauren Elizabeth Schulze | Nurse Practitioner | 201 E Huron St, Chicago, IL 60611-3197 | 2019-03-05 |
1689103228 | Alexis Linnebur | Dentist | 201 E Huron St, Chicago, IL 60611 | 2017-06-07 |
1225579667 | Jeffrey Shevach | Student in an Organized Health Care Education/Training Program | 201 E Huron St, Chicago, IL 60611-3197 | 2017-03-18 |
1386196855 | Patrick Ferguson | Nurse Practitioner | 201 E Huron St, Galter 11-140, Chicago, IL 60611-3197 | 2016-10-31 |
1083068910 | Mira Egbaria | Student in an Organized Health Care Education/Training Program | 201 E Huron St, Galter 2-246, Chicago, IL 60611-3197 | 2016-04-18 |
1588027676 | Sarah Elizabeth Fenton | Student in an Organized Health Care Education/Training Program | 201 E Huron St, Galter 3-150, Chicago, IL 60611-3197 | 2016-04-05 |
1790147965 | Joyce Njoroge | Internal Medicine | 201 E Huron St, Galter 3-150, Chicago, IL 60611-3197 | 2016-03-25 |
1346602760 | Ryan Lahey | Student in an Organized Health Care Education/Training Program | 201 E Huron St, Galter 3-150, Chicago, IL 60611-3197 | 2016-03-24 |
1770970659 | Alisha Paal | Dentist | 201 E Huron St, Galter 2-246, Chicago, IL 60611-3197 | 2015-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
Find all providers in zip 60611 |
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.