JOLIET DIALYSIS HOLDINGS, LLC – NPI #1114290475
Clinic/Center

JOLIET DIALYSIS HOLDINGS, LLC is an AHC clinic located in ROMEOVILLE, IL. NPPES has assigned the NPI number 1114290475 to JOLIET DIALYSIS HOLDINGS, LLC on February 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 previously updated about 7 years ago on Apr 15, 2019. 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 JOLIET DIALYSIS HOLDINGS, LLC below.

NPI Profile for
JOLIET DIALYSIS HOLDINGS, LLC

NPI Number
1114290475
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOLIET DIALYSIS HOLDINGS, LLC
Primary location
368 S. WEBER ROAD
ROMEOVILLE, IL 60446
Phone: (815) 254-0283 Fax: (815) 254-1397
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ZDZISLAWA MAJKA-KRAVETS
CEO
Phone: (815) 245-2466
Updated
Taxonomy Code(s)

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)
207RN0300X
- Internal Medicine / Nephrology		 IL 042.005614

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ZDZISIAWA.MAJKAKRAVETS @DIRECT.DAVITAPHYSICIANSOLUTIONS.COM
Content Type
OTHER
Affiliation
N
Endpoint Location
368 S. WEBER ROAD,
ROMEOVILLE, IL 77025-1669