Organization · Type 2 NPI

Fresenius Medical Care of Illinois, LLC

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

NPI number 1912292533 Active

Practice location

110 N West St
Waukegan, IL 60085-4330

Fax (547) 599-1351

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...

Another provider at this address

Fresenius Medical Care Lake County, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Waukegan, IL NPI 1205222197

Other end-stage renal disease (esrd) treatment clinic/center providers in Waukegan

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NPI record

NPI: 1912292533
Entity type: Organization (Type 2)
Issued: Jun 10, 2011
Last updated: Jan 24, 2012
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Fresenius Medical Care Waukegan Harbor · doing business as

Authorized official

Mark R. Fawcett
Treasurer
(781) 699-9000

Verify this record

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 1912292533

Fresenius Medical Care of Illinois, LLC's National Provider Identifier is 1912292533, issued on Jun 10, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Waukegan, IL. The record was last updated on Jan 24, 2012.