East Oaks Dialysis LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

Address: 2950 W 26th St, Chicago, IL 60623
Phone: 6152383136

East Oaks Dialysis LLC (NPI# 1629697917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1629697917
Entity Type Organization
Organization Name EAST OAKS DIALYSIS LLC
Practice Address 2950 W 26th St
Chicago
IL 60623
Practice Telephone 6152383136
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Authorized Official Name John D Winstell (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 6152383136
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name DAVITA INC
Enumeration Date 2020-04-16
Last Update Date 2020-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QE0700X Clinic/Center · End-Stage Renal Disease (ESRD) Treatment Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Marshall Square Dialysis Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2950 W 26TH ST
City CHICAGO
State IL
Zip Code 60623

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1922543917 Montclare Senior Residences Slf of Lawndale LLC Assisted Living Facility 4339 West 18th Place, Chicago, IL 60623 2016-12-29
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1982019204 Sonrisa Dental Little Village 26th Clinic/Center 3059 S 26th St, Chicago, IL 60623 2014-06-25
1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
1689801680 Braceman P&o Inc. Prosthetic/Orthotic Supplier 2830 W. Cermak Rd., Chicago, IL 60623 2009-06-17
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Competitor

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City CHICAGO
Zip Code 60623

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.