NPIMap

Organization Active NPI

Equipe Renal Care of Illinois LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lincolnwood, IL
National Provider Identifier
1225473044
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
EQUIPE RENAL CARE OF ILLINOIS LLC
Practice address
6633 N Kimball Ave
Lincolnwood, IL 60712-3731
Phone
(773) 749-1575
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mr. Shimon Meystel
Title
Ceo
Phone
(773) 749-1575

Specialties & licenses 1

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

Addresses

Primary practice location

6633 N Kimball Ave
Lincolnwood, IL 60712-3731

Mailing address

6633 N Kimball Ave
Lincolnwood, IL 60712-3731
Phone (773) 749-1575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1225473044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 N KIMBALL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123731",
            "telephone_number": "773-749-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 N KIMBALL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123731",
            "telephone_number": "773-749-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPE RENAL CARE OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-749-1575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.