Fresenius Medical Care of Illinois, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Practice address

101 Waukegan Rd
Suite 700
Lake Bluff, IL 60044-1687

Phone

(847) 735-0870

NPI assigned

Oct 13, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INCAs reported in NPPES

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) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS MEDICAL CARE OF LAKE BLUFF Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Fresenius Medical Care of Illinois, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Naperville, IL
  • NPI 1770593808

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1164512661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WAUKEGAN RD",
            "address_2": "SUITE 700",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WAUKEGAN RD",
            "address_2": "SUITE 700",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441687",
            "telephone_number": "847-735-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "FRESENIUS MEDICAL CARE OF LAKE BLUFF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forest Bluff Optometry LLC
• Anayatzy Franco
• Lindsey Wold Fraser, M.D.
• Becky Freeman-Murray
• Fresenius Medical Care Lake Bluff, LLC
• Fresenius USA Marketing, Inc
• Kelly Elizabeth Frye
• Melany Fuentes
• Jay B. Futterman, M.D.
• Lisa Gadek, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.