Organization Active NPI

Joliet Dialysis Holdings, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Romeoville, IL
National Provider Identifier
1114290475
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
JOLIET DIALYSIS HOLDINGS, LLC
Practice address
368 S. Weber Road
Romeoville, IL 60446
Phone
(815) 254-0283
Fax
(815) 254-1397
NPI assigned
Feb 17, 2012
Last updated
Apr 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Zdzislawa Teresa Majka-Kravets, MDNPI 1467560961
Title
Ceo
Phone
(815) 245-2466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary
Nephrology Physician 207RN0300X 042.005614 IL

Addresses

Primary practice location

368 S. Weber Road
Romeoville, IL 60446

Mailing address

368 S. Weber Road
Romeoville, IL 60446
Phone (815) 254-0283

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zdzisiawa.majkakravets@Direct.DavitaPhysiciansolutions.com Direct

National Provider Directory

National Provider Directory

Locations

16151 Weber Rd
Ste 200
Crest Hill, IL 60403
Phone (815) 280-5443

368 S Weber Rd
Romeoville, IL 60446
Phone (815) 254-0288

Interoperability endpoints

  • Direct secure messaging: zdzisiawa.majkakravets@direct.davitaphysiciansolutions.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1114290475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 S. WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "815-254-0283",
            "fax_number": "815-254-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 S. WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "815-254-0283",
            "fax_number": "815-254-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET DIALYSIS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MAJKA-KRAVETS",
        "authorized_official_first_name": "ZDZISLAWA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-245-2466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "042.005614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zdzisiawa.majkakravets@Direct.DavitaPhysiciansolutions.com",
            "affiliation": "N",
            "endpointDescription": "Zdzisiawa.majkakravets @Direct.DavitaPhysiciansolutions.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ROMEOVILLE",
            "address_1": "368 S. Weber Road",
            "city": "Romeoville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.