Angel Care Center LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marion, IL
NPI 1750837043 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1750837043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- ANGEL CARE CENTER LLC
- Practice address
- 3405 Office Park Dr Ste B
Marion, IL 62959-6478 - Phone
- (618) 993-6857
- Fax
- (618) 988-8558
- NPI assigned
- Aug 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Mark R Nail
- Title
- Business Manager
- Phone
- (972) 626-1117
Practitioners 5
-
Kevin C Chen, MD
-
Jesse Paul Bueza, PA-C
-
Faisal Rashid, M.D.
-
Chun Khai Chong, MD
Affiliated clinicians 1
-
Kevin C Chen, MD
Medicare Care Compare: Dialysis facility
- Listed as
- Angel Care Center LLC
- Overall star rating
- ★☆☆☆☆ 1.0 of 5
- Ownership
- Profit
- Certified
- Sep 5, 2017
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2121738 | Angel Care Center LLC | Certificate of waiver | Nov 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161114002151 | IL | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 7810276961 | Practice locations: Marion, IL |
National Provider Directory
Locations
3405 Office Park Dr
Marion, IL 62959
Phone (618) 579-6383
3405 Office Park Dr
Ste B
Marion, IL 62959
Phone (618) 993-6857
14 S Walnut St
Pinckneyville, IL 62274
Phone (618) 922-9952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
3405 Office Park Dr Ste B
Marion, IL 62959-6478
Mailing address
PO Box 1908
Marion, IL 62959-8108
Other providers in Marion, IL
- Ashley Marie Amberger
- Lanita Ames
- Alayna Grace Anderson
- Nicole Anderson
- Anesthesia Associates of Southern Illinois
- Dietra Leigh Angelly
- Jennifer Angus
- Kirit Antani
- Nicole Annette Anthony
- Russell Craig Arendt
All providers in Marion, IL · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.