Fresenius Medical Care of Illinois, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Doing business as

Fresenius Medical Care Dupage Home Dialysis

Practice address

501 W Lake St Ste 201
Elmhurst, IL 60126-1419

Phone

(630) 758-2490

Fax

(630) 758-2491

NPI assigned

Aug 24, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

James J. Divito

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FRESENIUS MEDICAL CARE DUPAGE HOME DIALYSIS Doing business as

Member of 2

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

• Fresenius Medical Care of Illinois, LLC

  dba Fresenius Medical Care - Naperville North

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Naperville, IL
  • NPI 1770593808

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Fresenius Medical Care Bristol

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1740397660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W LAKE ST STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261419",
            "telephone_number": "630-758-2490",
            "fax_number": "630-758-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W LAKE ST STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261419",
            "telephone_number": "630-758-2490",
            "fax_number": "630-758-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "03604233901",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE DUPAGE HOME DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence W Frank, MD
• Brock Allen Franklin, M.D.
• Laurel Vana Frausto, DMD, PHD
• Jody Freeman, MD
• Fresenius Medical Care Midwest Home Dialysis, LLC (Fresenius Kidney Care Midwest Home Dialysis)
• Leah Friedland, ATC
• Alison Froebel, OTR/L
• Alain Fulara, PHARMD
• Functional Therapy Specialists PC
• Amy L Funnell, M.S. CCC-A

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.