NPIMap

Northwestern Medical Faculty Foundation Dialysis Center, LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chicago, IL

NPI 1861733503 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1861733503
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC
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
Organization subpart
No

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2730

Member of 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130311000192 IL Part a Provider - End-Stage Renal Disease Facility (ESRD) 2264687631 Practice locations: Chicago, IL

National Provider Directory

Part of
US Renal Care Inc

Locations

250 E Superior St
Ste 520
Chicago, IL 60611
Phone (312) 472-5200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

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

Mailing address

PO Box 251549
Plano, TX 75025-1500

Other names

  • Northwestern Medicine Home Dialysis Doing business as

Other providers in Chicago, IL

All providers in Chicago, IL · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.