FRESENIUS MEDICAL CARE EVERGREEN PARK – NPI #1669805933
Clinic/Center

FRESENIUS MEDICAL CARE EVERGREEN PARK is an AHC clinic located in EVERGREEN PARK, IL. NPPES has assigned the NPI number 1669805933 to FRESENIUS MEDICAL CARE EVERGREEN PARK on August 09, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS MEDICAL CARE EVERGREEN PARK” is a dba name, the actual legal business name for this organization is FRESENIUS MEDICAL CARE CHICAGOLAND, LLC. 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 13 years ago on Oct 23, 2013. 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 FRESENIUS MEDICAL CARE EVERGREEN PARK below.

NPI Profile for
FRESENIUS MEDICAL CARE CHICAGOLAND, LLC

NPI Number
1669805933
Enumeration Date

(about 13 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 CHICAGOLAND, LLC
Doing Business As (dba): FRESENIUS MEDICAL CARE EVERGREEN PARK
Primary location
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805-2814
Phone: (708) 423-8833 Fax: (708) 423-0689
Mailing address
Same as primary location
Organization Subpart
Yes - FRESENIUS MEDICAL CARE EVERGREEN PARK is subpart of another organization.
Authorized Official
MARK FAWCETT
VP AND TREASURER
Phone: (781) 699-9000
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.