FRESENIUS MEDICAL CARE LAKE COUNTY LLC NPI 1972999860

NPI Information

NPI: 1972999860
Provider Name: FRESENIUS MEDICAL CARE LAKE COUNTY, LLC

Doing Business As: FRESENIUS MEDICAL CARE OF ANTIOCH

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
311 W DEPOT ST STE H
ANTIOCH, IL
ZIP 60002
Phone: (847) 395-5854
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FRESENIUS MEDICAL CARE LAKE COUNTY, LLC is an end-stage renal disease (esrd) treatment clinic center in Antioch, IL. FRESENIUS MEDICAL CARE LAKE COUNTY, LLC NPI is 1972999860. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Of Antioch.

The provider's business location address is:

311 W DEPOT ST STE H
ANTIOCH, IL
ZIP 60002-500
Phone: (847) 395-5854
Fax: (847) 395-6327

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 10/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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