Northwestern Medical Faculty Foundation Dialysis Center, LLC

Primary specialty

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

Legal business name

NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC

Doing business as

Northwestern Medicine Home Dialysis

Practice address

676 N Saint Clair St Ste 2020
Chicago, IL 60611-2941

Phone

(312) 472-5200

Fax

(312) 472-5201

NPI assigned

Mar 5, 2013

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• Northwestern Medicine Home Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

US Renal Care Inc

Member of 1

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

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Optometrist
  • Chicago, IL
  • NPI 1588063572

  Member Of

  NPD member

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1861733503",
    "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",
            "fax_number": "214-736-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 2020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112941",
            "telephone_number": "312-472-5200",
            "fax_number": "312-472-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "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": "Northwestern Medicine Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation
• Northwestern Medical Faculty Foundation
• Northwestern Medicine
• Northwestern Medicine
• Northwestern Memorial Healthcare
• Northwestern Memorial Healthcare (Northwestern Memorial Hospital)
• Northwestern Memorial Healthcare (Northwestern Memorial Hospital Cancer Infusion Center)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.