Active NPI
Quality Renal Care LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Carpentersville, IL
National Provider Identifier
1740233154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- QUALITY RENAL CARE LLC
- Practice address
- 2203 Randall Road
Carpentersville, IL 60110 - Phone
- (847) 426-6456
- Fax
- (847) 426-4795
- NPI assigned
- May 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
- Mrs. Beth Ann Girard, RN
- Title
- Renal Administrator
- Phone
- (847) 426-6456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2203 Randall Road
Carpentersville, IL 60110
Mailing address
2203 Randall Road
Carpentersville, IL 60110
Phone (847) 426-6456
Other names 1
- QRC
National Provider Directory
National Provider DirectoryLocations
2203 Randall Rd
Carpentersville, IL 60110
Phone (847) 426-6456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229644800000",
"number": "1740233154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 RANDALL ROAD",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "60110",
"telephone_number": "847-426-6456",
"fax_number": "847-426-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 RANDALL ROAD",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "60110",
"telephone_number": "847-426-6456",
"fax_number": "847-426-4795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY RENAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-12-19",
"status": "A",
"authorized_official_last_name": "GIRARD",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "RENAL ADMINISTRATOR",
"authorized_official_telephone_number": "847-426-6456",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "QRC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carpentersville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.