Active NPI
Usrc West Chicago, LLC
Doing business as US Renal Care West Chicago Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
National Provider Identifier
1851813216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC WEST CHICAGO, LLC
- Doing business as
- US Renal Care West Chicago Dialysis
- Practice address
- 112 W 87TH St Ste N
Chicago, IL 60620-1318 - Phone
- (708) 831-2601
- Fax
- (708) 831-2602
- NPI assigned
- Jul 7, 2017
- Last updated
- Jul 7, 2017
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Chairman, Authorized Official
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
112 W 87TH St Ste N
Chicago, IL 60620-1318
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700
Other names 1
- US RENAL CARE WEST CHICAGO DIALYSIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170928003525 | IL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9234404344 | Practice locations: Chicago, IL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Usrc Dan Ryan
- Overall star rating
- Ownership
- Profit
- Certified
- Mar 14, 2018
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 13
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
112 W 87th St
Ste N
Chicago, IL 60620
Phone (708) 831-2601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1255356689
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499385600000",
"number": "1851813216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251549",
"city": "PLANO",
"state": "TX",
"postal_code": "750251500",
"telephone_number": "214-736-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 87TH ST STE N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606201318",
"telephone_number": "708-831-2601",
"fax_number": "708-831-2602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC WEST CHICAGO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE, INC.",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHAIRMAN, AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "US RENAL CARE WEST CHICAGO DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.