Renal Care Group Chicago Southside, Llc in Merrionette Park - End-stage Renal Disease (esrd) Treatment
Renal Care Group Chicago Southside, Llc - NPI 1710077219
Renal Care Group Chicago Southside, Llc is a End-stage Renal Disease (esrd) Treatment in Merrionette Park, Illinois. Renal Care Group Chicago Southside, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Care Group Chicago Southside, Llc is 1710077219. The last update date is 2023-10-23.
Renal Care Group Chicago Southside, Llc's current location address is 11630 S Kedzie Ave, Merrionette Park, Illinois. You can contact this provider via phone number 7083899099 and fax number 7083899088. The mailing address for Renal Care Group Chicago Southside, Llc is 11630 S Kedzie Ave, Merrionette Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Care Group Chicago Southside, Llc |
|---|---|
| Address | 11630 S Kedzie Ave, Merrionette Park, Illinois |
| Phone Number | 7083899099 |
| Fax Number | 7083899088 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1710077219 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-10-23 |
Provider Mailing Address Detail
| Address | 11630 S Kedzie Ave |
|---|---|
| City | Merrionette Park |
| State | Illinois (IL) |
| Post Code | 608036302 |
| Phone Number | 7083899099 |
| Fax Number | 7083899088 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the unique provider identifier assigned to Renal Care Group Chicago Southside, Llc?
The Renal Care Group Chicago Southside, Llc has been issued the NPI (National Provider Identifier) 1710077219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Renal Care Group Chicago Southside, Llc located?
The Renal Care Group Chicago Southside, Llc is located at 11630 S Kedzie Ave, Merrionette Park, IL 608036302.
What is the Renal Care Group Chicago Southside, Llc's specialty and taxonomy code?
The Renal Care Group Chicago Southside, Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When did Renal Care Group Chicago Southside, Llc receive its 1710077219 assignment?
The Renal Care Group Chicago Southside, Llc was assigned its 1710077219 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Renal Care Group Chicago Southside, Llc most recently updated?
The details pertaining to the Renal Care Group Chicago Southside, Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-10-23.