HOME DIALYSIS SERVICES HICKORY HILLS LLC – NPI #1083053417
Clinic/Center
HOME DIALYSIS SERVICES HICKORY HILLS LLC is an AHC clinic located in OAK LAWN, IL. NPPES has assigned the NPI number 1083053417 to HOME DIALYSIS SERVICES HICKORY HILLS LLC on June 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was last updated on Dec 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOME DIALYSIS SERVICES HICKORY HILLS LLC below.
NPI Profile for
HOME DIALYSIS SERVICES HICKORY HILLS LLC
(about 13 years ago)
OAK LAWN, IL 60453-6384 Phone: (708) 598-2554 Fax: (708) 598-2558
1 Other location(s):
Hickory Hills, IL 60457-2388
Phone: (708) 598-2554
Fax: (708) 598-2558
LOCKPORT, IL 60441-6428 Phone: (815) 741-6830 Fax: (815) 741-6832
MEDICAL DIRECTOR /CEO
Phone: (815) 741-6830
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.