Organization Active NPI

WSKC Dialysis Services, Inc.

Doing business as Oak Park Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oak Park, IL
National Provider Identifier
1013022854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WSKC DIALYSIS SERVICES, INC.
Doing business as
Oak Park Dialysis Center
Practice address
733 Madison St
Oak Park, IL 60302-4419
Phone
(708) 386-8757
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 402-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

733 Madison St
Oak Park, IL 60302-4419

Mailing address

733 Madison St
Oak Park, IL 60302-4419

Other names 1

  • OAK PARK DIALYSIS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

733 Madison St
Oak Park, IL 60302
Phone (708) 386-8757

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013022854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024419",
            "telephone_number": "708-386-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSKC DIALYSIS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-402-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK PARK DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.