DCC, Inc. Dba Kidney Dialysis Avoidance Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM

Doing business as

Renalogic, Inc.

Practice address

223 W Jackson Blvd Ste 604
Chicago, IL 60606-6956

Phone

(623) 594-3117

Fax

(602) 714-8853

NPI assigned

Jul 31, 2018

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

DCC, INC.As reported in NPPES

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

Authorized official

Name

Kea Ingeborg Nielsen

Title

Sr Director, Risk MGMT & Compliance

Phone

(623) 594-3117

Specialties & licenses 1

Addresses

Other names 1

• Renalogic, Inc. Doing business as

Part of

DCC Inc Dba Kidney Dialysis Avoidance Program

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1083192215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066956",
            "telephone_number": "623-594-3117",
            "fax_number": "602-714-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066956",
            "telephone_number": "623-594-3117",
            "fax_number": "602-714-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCC, INC.",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KEA",
        "authorized_official_middle_name": "INGEBORG",
        "authorized_official_title_or_position": "SR DIRECTOR, RISK MGMT & COMPLIANCE",
        "authorized_official_telephone_number": "623-594-3117"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renalogic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.