KIDNEY CARE CENTER SOUTH LLC – NPI #1427399211
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

KIDNEY CARE CENTER SOUTH LLC is a provider located in OAK LAWN, IL. NPPES has assigned the NPI number 1427399211 to KIDNEY CARE CENTER SOUTH LLC on March 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 2 years ago on Feb 23, 2024. 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 KIDNEY CARE CENTER SOUTH LLC below.

NPI Profile for
KIDNEY CARE CENTER SOUTH LLC

NPI Number
1427399211
Enumeration Date

(more than 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
KIDNEY CARE CENTER SOUTH LLC
Primary location
4457 SOUTHWEST HIGHWAY
SUITE 201
OAK LAWN, IL 60453
Phone: (708) 598-2448 Fax: (708) 827-5419
2 Other location(s):
4400 W 95th St Ste 201
Oak Lawn, IL 60453-2657
Phone: (708) 598-2448
10508 S Roberts Rd
Palos Hills, IL 60465-1934
Phone: (708) 598-2448
Fax: (708) 827-5419
Mailing address
PO BOX 3877
JOLIET, IL 60434-3877
Phone: (815) 741-6830 Fax: (815) 741-6832
Organization Subpart
No
Authorized Official
MORUFU ALAUSA
MEDICAL DIRECTOR
Phone: (815) 741-6830
Updated
Certification Date
Feb 21, 2024

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.

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
207RN0300X
- Internal Medicine / Nephrology (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.