FRESENIUS MEDICAL CARE OF ILLINOIS, LLC (NPI# 1992032767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992032767 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE OF ILLINOIS, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE MIDWAY |
| Practice Address |
6201 W 63rd St Chicago IL 60638-5009 |
| Practice Telephone | 7732298268 |
| Practice Fax Number | 7732298266 |
| Mailing Telephone | 7732298268 |
| Mailing Fax Number | 7732298266 |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Midway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511399 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1946 Grand Avenue, Granite City, IL 62040-4613 | 2020-02-24 |
| 1467971333 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 6525 W Main St, Belleville, IL 62223-3703 | 2017-09-12 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1861882227 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 624 Voris-jost Dr., Waterloo, IL 62298-1568 | 2015-01-23 |
| 1578964565 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1657 Old Skokie Valley Rd, Highland Park, IL 60035-2349 | 2014-09-09 |
| 1760761316 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1402 Townline Rd, Mundelein, IL 60060-4433 | 2011-08-15 |
| 1912292533 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 110 N West St, Waukegan, IL 60085-4330 | 2011-06-10 |
| 1043510217 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 219 E 34th St, Steger, IL 60475-1201 | 2010-10-22 |
| 1316188956 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 405 Lake Cook Rd Ste A13, Deerfield, IL 60015-5284 | 2009-03-11 |
| 1093955635 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1960 Springer Dr, Lombard, IL 60148-6419 | 2009-02-23 |
| Street Address |
6201 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447683719 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 6201 W 63rd St, Chicago, IL 60638-5009 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| 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.