Organization Active NPI

Satellite Dialysis of Glenview LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glenview, IL
National Provider Identifier
1649542960
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SATELLITE DIALYSIS OF GLENVIEW LLC
Doing business as
Satellite Dialysis of Glenview
Practice address
2601 Compass Rd
Suite 145
Glenview, IL 60026-8077
Phone
(847) 832-0001
Fax
(847) 724-4560
NPI assigned
Feb 1, 2012
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Susan L Del Bene
Title
Secretary/Cfo
Phone
(650) 404-3618

Specialties & licenses 1

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

Addresses

Primary practice location

2601 Compass Rd
Suite 145
Glenview, IL 60026-8077

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (847) 832-0001

Other identifiers 1

IdentifierTypeStateIssuer
237290564001MedicaidIL

Other names 1

  • Satellite Dialysis of Glenview Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 1

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

Locations

2601 Compass Rd
Glenview, IL 60026

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1649542960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "847-832-0001",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 145",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268077",
            "telephone_number": "847-832-0001",
            "fax_number": "847-724-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF GLENVIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2012-02-01",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "650-404-3618"
    },
    "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": "237290564001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Dialysis of Glenview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.