CKD SERVICES OF EVERGREEN PARK – NPI #1457529943
Clinic/Center

CKD SERVICES OF EVERGREEN PARK is an AHC clinic located in EVERGREEN PARK, IL. NPPES has assigned the NPI number 1457529943 to CKD SERVICES OF EVERGREEN PARK on February 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CKD SERVICES OF EVERGREEN PARK” is a dba name, the actual legal business name for this organization is FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC. 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

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 CKD SERVICES OF EVERGREEN PARK below.

NPI Profile for
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC

NPI Number
1457529943
Enumeration Date

(more than 18 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
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Doing Business As (dba): CKD SERVICES OF EVERGREEN PARK
Primary location
9730 S WESTERN AVE
CKD SERVICES OF EVERGREEN PARK
EVERGREEN PARK, IL 60805-2814
Phone: (708) 423-8833 Fax: (708) 423-0689
Mailing address
920 WINTER ST
FMCNA CKD SERVICES 3W-16
WALTHAM, MA 02451-1521
Phone: (781) 699-4160 Fax: (781) 699-4046
Organization Subpart
Yes - CKD SERVICES OF EVERGREEN PARK is subpart of another organization.
Authorized Official
MARK FAWCETT
VICE PRESIDENT, TREASURER
Phone: (781) 699-2668
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)

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.