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1184640237 NPI number — ISD SCHAUMBURG LLC

NPI Number: 1184640237
Health Care Provider/Practitioner: ISD SCHAUMBURG LLC

Information about “1184640237” NPI (ISD SCHAUMBURG LLC) exists in 1184640237 in HTML format HTML  |  1184640237 in plain Text format TXT  |  1184640237 in PDF (Portable Document Format) PDF  |  1184640237 in an XML format XML  formats.

NPI Number : 1184640237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184640237",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ISD SCHAUMBURG LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5200 VIRGINIA WAY",
    "SecondLineMailingAddress": "L&C DEPT",
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027-7569",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1156 S ROSELLE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCHAUMBURG",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60193",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-524-4310",
    "PracticeLocationAddressFaxNumber": "847-524-4311",
    "EnumerationDate": "07/14/2006",
    "LastUpdateDate": "09/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEY",
    "AuthorizedOfficialFirstName": "SAMUEL",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "VP, LICENSURE & CERTIFICATION",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-341-6641",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QE0700X",
        "TaxonomyName": "End-Stage Renal Disease (ESRD) Treatment Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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