Organization Active NPI

PRS, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elmhurst, IL
National Provider Identifier
1528003126
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PRS, LLC
Practice address
188 W Industrial Dr
Suite 100
Elmhurst, IL 60126-1623
Phone
(630) 359-3238
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mark Pick
Title
Owner
Phone
(847) 372-4243

Specialties & licenses 1

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

Addresses

Primary practice location

188 W Industrial Dr
Suite 100
Elmhurst, IL 60126-1623

Mailing address

188 W Industrial Dr
Suite 100
Elmhurst, IL 60126-1623

Other identifiers 1

IdentifierTypeStateIssuer
50655OtherBLUE CROSS BLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

188 W Industrial Dr
Ste 315
Elmhurst, IL 60126
Phone (630) 359-3249

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1528003126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR",
            "address_2": "SUITE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR",
            "address_2": "SUITE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261623",
            "telephone_number": "630-359-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-372-4243"
    },
    "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 BLUE SHIELD OF ILLINOIS",
            "identifier": "50655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.