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

Kidney Center South LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1063878072

Kidney Center South LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tinley Park, Illinois. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2016.

CMS rating
2 of 5
In the registry since
2016
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

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 142810)

Practice location Address checks out

16767 80th Ave
Tinley Park, IL 60477-2361
Phone: (708) 429-4738
Fax: (708) 429-4984
Show map & directions

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 number1063878072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Tinley Park Dialysis; Tinley Park Dialysis
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address5200 Virginia Way, L&C Department, Brentwood, TN 37027-7569