Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Itasca Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1699288092

Itasca Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chicago, Illinois. Medicare rates this dialysis facility 5 out of 5. Registered with an NPI since 2017.

CMS rating
5 of 5
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

5 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 142860)

Practice location Address checks out

4737 S California Ave
Chicago, IL 60632-2015
Phone: (773) 523-2441
Fax: (773) 523-2468
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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

Record details

NPI number1699288092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Brighton Park Dialysis
NPI enumeratedNovember 8, 2017
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569

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