Dialysis Centers Of America - Illinois, Inc. in Crestwood - End-stage Renal Disease (esrd) Treatment

Dialysis Centers Of America - Illinois, Inc. - NPI 1356456107

Dialysis Centers Of America - Illinois, Inc. is a End-stage Renal Disease (esrd) Treatment in Crestwood, Illinois. Dialysis Centers Of America - Illinois, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Centers Of America - Illinois, Inc. is 1356456107. The last update date is 2023-10-16.

Dialysis Centers Of America - Illinois, Inc.'s current location address is 4815 Midlothian Tpke, Crestwood, Illinois. You can contact this provider via phone number 7082931665 and fax number 7083857837. The mailing address for Dialysis Centers Of America - Illinois, Inc. is 4815 Midlothian Tpke, Crestwood, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dialysis Centers Of America - Illinois, Inc.
Address 4815 Midlothian Tpke, Crestwood, Illinois
Phone Number 7082931665
Fax Number 7083857837
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1356456107
Provider Enumeration Date 2006-08-20
Last Updated Date 2023-10-16

Provider Mailing Address Detail

Address 4815 Midlothian Tpke
City Crestwood
State Illinois (IL)
Post Code 604452129
Phone Number 7082931665
Fax Number 7083857837

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

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FAQs about Dialysis Centers Of America - Illinois, Inc.

What is the unique 10-digit identification code assigned to Dialysis Centers Of America - Illinois, Inc. by the Centers for Medicare & Medicaid Services?

The Dialysis Centers Of America - Illinois, Inc. has been issued the NPI (National Provider Identifier) 1356456107, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dialysis Centers Of America - Illinois, Inc. is physically located?

The Dialysis Centers Of America - Illinois, Inc. is physically situated at the following address: 4815 Midlothian Tpke, Crestwood, IL, 604452129.

What is the area of specialization for Dialysis Centers Of America - Illinois, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dialysis Centers Of America - Illinois, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.

On what date did the Dialysis Centers Of America - Illinois, Inc. receive the assignment of its 1356456107 from the Centers for Medicare & Medicaid Services?

The Dialysis Centers Of America - Illinois, Inc. was issued its 1356456107 by the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date was the information regarding Dialysis Centers Of America - Illinois, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dialysis Centers Of America - Illinois, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-16.

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