Cook County
Cook County is a Renal Dialysis Technician in Chicago, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
430 E 51st PlChicago, IL 60615
Phone: (312) 864-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|---|
| Renal Dialysis Technician | Taxonomy 2472R0900X |
Record details
| NPI number | 1831846922 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cook County |
| Authorized official | Scott Andrle — Director Of Managed Care · (312) 864-4649 |
| Other names | Provident Dialysis Center; Provident Dialysis Center |
| NPI enumerated | March 8, 2022 |
| Last updated in NPPES | March 16, 2022 |
| Certification date | March 16, 2022 |
| Mailing address | 430 East 51st Pl, Chicago, IL 60615 |
Other providers in Chicago
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Cook County
430 E 51st Pl, Chicago, IL 60615 · (312) 864-0200
-
Franklin Mays
1627 N Meade Ave, Chicago, IL 60639-3915 · (708) 200-3411