Renal Care Group Chicago Southside, LLC
NPI #1710077219 in Merrionette Park, Illinois
Provider Information
- NPI Number
- 1710077219
- Entity Type
- Organization
- Organization Name
- Renal Care Group Chicago Southside, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- 11630 S KEDZIE AVE
- City
- Merrionette Park
- State
- Illinois
- ZIP Code
- 60803-6302
- Phone
- (708) 389-9099
Authorized Official
- Name
- BARRY L. BLANTON
- Title
- VICE PRESIDENT
- Phone
- (781) 699-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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