NPIMap

Organization Active NPI

Affiliated Home Dialysis Partners LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elk Grove Village, IL
National Provider Identifier
1376785477
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
142699 Issued in IL
Legal business name
AFFILIATED HOME DIALYSIS PARTNERS LLC
Practice address
1014 Bonaventure Dr
Elk Grove Village, IL 60007-3277
Phone
(847) 352-4711
Fax
(847) 891-4901
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Curt Douglas Anliker
Title
Coo
Phone
(630) 942-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 142699 IL Primary

Addresses

Primary practice location

1014 Bonaventure Dr
Elk Grove Village, IL 60007-3277

Mailing address

800 Roosevelt Rd
Ste C-1
Glen Ellyn, IL 60137-5839
Phone (630) 942-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1376785477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "STE C-1",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-942-1111",
            "fax_number": "630-942-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BONAVENTURE DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073277",
            "telephone_number": "847-352-4711",
            "fax_number": "847-891-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOME DIALYSIS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-942-1111"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "142699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.