Organization · Type 2 NPI

Fresenius Medical Care Comprehensive CKD Services Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Evergreen Park, IL

NPI number 1457529943 Active

Practice location

9730 S Western Ave, Ckd Services Of Evergreen Park
Evergreen Park, IL 60805-2814

Call (708) 423-8833 Map

Fax (708) 423-0689

Mailing address

920 Winter St, Fmcna Ckd Services 3W-16
Waltham, MA 02451-1521

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1457529943
Entity type: Organization (Type 2)
Issued: Feb 19, 2008
Last updated: Feb 19, 2008
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings Inc

Other names

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CKD Services of Evergreen Park · doing business as

Authorized official

Mark Fawcett
Vice President, Treasurer
(781) 699-2668

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457529943

Fresenius Medical Care Comprehensive CKD Services Inc's National Provider Identifier is 1457529943, issued on Feb 19, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Evergreen Park, IL. The record was last updated on Feb 19, 2008.