Isd Renal Inc in Country Club Hills - End-stage Renal Disease (esrd) Treatment
Isd Renal Inc - NPI 1073532420
Isd Renal Inc is a End-stage Renal Disease (esrd) Treatment in Country Club Hills, Illinois. Isd Renal Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Isd Renal Inc is 1073532420. The last update date is 2023-12-01.
Isd Renal Inc's current location address is 4215 W 167th St, Country Club Hills, Illinois. You can contact this provider via phone number 7082061845 and fax number 7089577521. The mailing address for Isd Renal Inc is 4215 W 167th St, Country Club Hills, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Isd Renal Inc |
|---|---|
| Address | 4215 W 167th St, Country Club Hills, Illinois |
| Phone Number | 7082061845 |
| Fax Number | 7089577521 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP LICENSU |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1073532420 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2023-12-01 |
Provider Mailing Address Detail
| Address | 4215 W 167th St |
|---|---|
| City | Country Club Hills |
| State | Illinois (IL) |
| Post Code | 604782017 |
| Phone Number | 7082061845 |
| Fax Number | 7089577521 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Isd Renal Inc?
The Isd Renal Inc has been issued the NPI (National Provider Identifier) 1073532420 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Isd Renal Inc located?
The Isd Renal Inc is located at 4215 W 167Th St, Country Club Hills, IL 604782017.
What is Isd Renal Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Isd Renal Inc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073532420 to Isd Renal Inc?
The Centers for Medicare & Medicaid Services assigned the 1073532420 to Isd Renal Inc on 2006-07-18.
When was the information pertaining to Isd Renal Inc most recently updated or revised?
The details related to Isd Renal Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-12-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY