Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Hazel Crest Renal Center

Practice address

3470 W 183Rd St
Hazel Crest, IL 60429-2428

Phone

(708) 799-3101

Fax

(708) 799-3320

NPI assigned

Jul 14, 2006

Last updated

Apr 27, 2026By 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

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hazel Crest Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

DaVita Hazel Crest Renal CenterCCN 142622

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 28, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Renal Care of Marion88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Arlington Heights Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Arlington Heights, IL
  • NPI 1003832148
  NPD tax ID
• Isd Renal Inc

  dba Country Hills Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Country Club Hills, IL
  • NPI 1073532420
  NPD tax ID
• Isd Renal Inc

  dba Loop Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1235155391
  NPD tax ID
• Isd Renal Inc

  dba Waukegan Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waukegan, IL
  • NPI 1417978156
  NPD tax ID
• Isd Renal Inc

  dba Waukegan Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waukegan, IL
  • NPI 1659397859
  NPD tax ID
• Isd Renal Inc

  dba Evanston Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Evanston, IL
  • NPI 1689690893
  NPD tax ID
• Isd Renal Inc

  dba South Holland Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • South Holland, IL
  • NPI 1881610996
  NPD tax ID

Member of 2

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

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jaime S Baylock, M.D.

  • Nephrology Physician
  • Flossmoor, IL
  • NPI 1376774372

  Dialysis facility

  Care Compare affiliation Name & address match
• Kenneth N Cline, M.D.

  • Nephrology Physician
  • Flossmoor, IL
  • NPI 1508961517

  Dialysis facility

  Care Compare affiliation Name & address match
• Lourdes R Terrado, M.D.

  • Nephrology Physician
  • Flossmoor, IL
  • NPI 1639274624

  Dialysis facility

  Care Compare affiliation Name & address match
• Daniel A Yohay, M.D.

  • Nephrology Physician
  • Flossmoor, IL
  • NPI 1124123302

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1467478586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 W 183RD ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292428",
            "telephone_number": "708-799-3101",
            "fax_number": "708-799-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazel Crest Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazel Crest Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syed Haider M Imam
• Imperial Manor of Hazel Crest, LLC
• Imperial of Hazel Crest
• Insight Chicago, Inc. (Insight Chandra Diagnstics Cardiology)
• Inter-Community Radiation Oncology SC
• Amy Kathleen Jackson, A.T.C.
• Petrina Jackson, DC
• Candice Joy Jager, P.T.
• Anita Jamison
• Amelia M Jeyapalan, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hazel Crest, IL
• Providers in Hazel Crest, 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 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.