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NPI Code Detail

MEDICARE: NEPHROLOGY & INTERNAL MEDICINE, INC.

MEDICARE: NEPHROLOGY & INTERNAL MEDICINE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1548785116
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPHROLOGY & INTERNAL MEDICINE, INC.
Provider Business Mailing Address
First Line : 120 W 22ND ST
Second Line : SUITE 200
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-573-5000
Fax Number : 630-368-0280
Provider Business Practice Location Address
First Line : 5540 S. EAST STREET
Second Line : SUITE 100
City : INDIANAPOLIS
State : IN
Zip : 46227-4622
Country : US
Telephone Number : 317-924-8425
Fax Number : 317-634-0921
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : NANCY BAIRD
Credential : MD
Telephone Number : 317-924-8425
Provider Enumeration Date : 08/04/2017
Last Update Date : 02/04/2026

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