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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE DES PLAINES, LLC

MEDICARE: FRESENIUS MEDICAL CARE DES PLAINES, LLC
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1629411269
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE DES PLAINES, LLC
Provider Business Mailing Address
First Line : 1625 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2002
Country : US
Telephone Number : 847-795-0014
Fax Number : 847-795-0087
Provider Business Practice Location Address
First Line : 1625 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2002
Country : US
Telephone Number : 847-795-0014
Fax Number : 847-795-0087
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 04/13/2013
Last Update Date : 10/19/2023

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Directions to “FRESENIUS MEDICAL CARE DES PLAINES, LLC ” Practice Location

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