Northwest Kidney Consultants, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036096969 Issued in IL

Legal business name

NORTHWEST KIDNEY CONSULTANTS, S.C.

Practice address

2707 Carrington Dr
West Dundee, IL 60118-1755

Phone

(847) 429-0571

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tracy A Rady, CPC

Title

Billing

Phone

(847) 429-0571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1700059433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 CARRINGTON DR",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181755",
            "telephone_number": "847-429-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CARRINGTON DR",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181755",
            "telephone_number": "847-429-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KIDNEY CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "RADY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "847-429-0571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036096969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.