Garfield Kidney Center, LLC

Primary specialty

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

Legal business name

GARFIELD KIDNEY CENTER, LLC

Practice address

3250 W Franklin Blvd
Chicago, IL 60624-1509

Phone

(773) 638-1160

Fax

(773) 638-1449

NPI assigned

Jul 30, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ed Novak

Title

Ceo

Phone

(773) 265-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447265202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241509",
            "telephone_number": "773-638-1160",
            "fax_number": "773-638-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241509",
            "telephone_number": "773-638-1160",
            "fax_number": "773-638-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-265-7301"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50339",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Garduno
• David Garelick, M.D.
• Jenna Garey
• Garfield Counseling Center, Incorporated
• Garfield Integrative Psychotherapy PLLC
• Garfield Park Hospital, L.L.C.
• Garfield Park Hospital, LLC (Garfield Park Hospital)
• Garfield Ridge Dentistry LTD
• Garfield Ridge Medical Group
• Garfield Ridge Satellite Senior Center

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Apr 20, 2008; 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.