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
Practice Address 2950 W 26th St
IL 60623
Practice Telephone 6152383136
Mailing Address 5200 Virginia Way
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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1154801702 Total Renal Care Inc Clinic/Center 8159 S Cicero Ave, Chicago, IL 60652-2017 2018-08-14
1497258693 Dialysis Care Center Beverly LLC Clinic/Center 10801 S Western Ave Ste 100, Chicago, IL 60643-3297 2018-03-14
1699288092 Itasca Dialysis LLC Clinic/Center 4737 S California Ave, Chicago, IL 60632-2015 2017-11-08
1821507674 Total Renal Care Inc Clinic/Center 4323 N Pulaski Rd, Chicago, IL 60641-2155 2017-09-25
1851813216 Usrc West Chicago, LLC Clinic/Center 112 W 87th St Ste N, Chicago, IL 60620-1318 2017-07-07
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1548791163 Pawlier Dialysis LLC Clinic/Center 9505 S Colfax Ave, Chicago, IL 60617-4976 2017-03-24
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
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Office Location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922543917 Montclare Senior Residences Slf of Lawndale LLC Assisted Living Facility 4339 West 18th Place, Chicago, IL 60623 2016-12-29
1679024376 Athletico Ltd. Physical Therapist 2632 W. Pershing Rd., Chicago, IL 60623 2016-10-18
1245691211 L A Jones Hair Restoration Center Prosthetic/Orthotic Supplier 1657 S. Troy, Chicago, IL 60623 2016-03-17
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
1861639023 Community Occupational Therapy Occupational Therapist 3000 S. Pulaski Rd., Chgo, IL 60623 2009-01-09
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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.