Healthcare Provider Details

I. General information

NPI: 1366358137
Provider Name (Legal Business Name): ALTO RENAL CARE, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 SKOKIE VALLEY RD STE 200
HIGHLAND PARK IL
60035-1041
US

IV. Provider business mailing address

3330 SKOKIE VALLEY RD STE 200
HIGHLAND PARK IL
60035-1041
US

V. Phone/Fax

Practice location:
  • Phone: 847-386-7744
  • Fax:
Mailing address:
  • Phone: 847-386-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: SURESH SAMSON
Title or Position: MD
Credential: MD
Phone: 847-386-7744