Active NPI
PRS, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Elmhurst, IL
National Provider Identifier
1528003126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50655 | Other | BLUE CROSS BLUE SHIELD OF ILLINOIS |
National Provider Directory
National Provider DirectoryLocations
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.