Isd Buffalo Grove LLC

Primary specialty

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

Legal business name

ISD BUFFALO GROVE LLC

Doing business as

Buffalo Grove Dialysis

Practice address

1291 W Dundee Rd
Buffalo Grove, IL 60089-4009

Phone

(847) 253-9400

Fax

(847) 253-9484

NPI assigned

Jul 14, 2006

Last updated

Mar 17, 2025By 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

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Buffalo Grove Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

DaVita Buffalo Grove DialysisCCN 142650

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jul 20, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

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

• Dialysis Centers of America - Illinois, Inc.

  dba Fresenius Kidney Care Escanaba

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Escanaba, MI
  • NPI 1205941051

  Member Of

  NPD member
• Dva Healthcare Renal Care Inc

  dba Charlotte Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1023077682

  Member Of

  NPD member
• Isd Renal Inc

  dba Weslaco Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Weslaco, TX
  • NPI 1891740395

  Member Of

  NPD member

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lo-Ku Chiang, M.D.

  • Nephrology Physician
  • Arlington Heights, IL
  • NPI 1386842557

  Dialysis facility

  Care Compare affiliation Name & address match
• George R Hvostik, MD

  • Nephrology Physician
  • Libertyville, IL
  • NPI 1023015021

  Dialysis facility

  Care Compare affiliation Name & address match
• Sandeep D. Mehta

  • Nephrology Physician
  • Highland Park, IL
  • NPI 1558300319

  Dialysis facility

  Care Compare affiliation Name & address match
• Liliana Osadchuk, M.D.

  • Nephrology Physician
  • Evanston, IL
  • NPI 1255643987

  Dialysis facility

  Care Compare affiliation Name & address match
• Shen Song, MD

  • Nephrology Physician
  • Mount Prospect, IL
  • NPI 1518386911

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1871519926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-253-9400",
            "fax_number": "847-253-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD BUFFALO GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "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": "Buffalo Grove Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buffalo Grove Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrative Therapy Services, PLLC
• Integrity Physical Therapy, Inc.
• Integrity Physical Therapy, Inc.
• Irina K. Harag, M.D., LTD
• Elizabeth Isaacs, PT
• It Consulting & Diagnostics Inc
• Jan Wendy Itzkowitz, M.ED., LMFT
• Andrew Ivanchenko, M.D.
• Katryn Ivashnev
• Aybek Izzatov, LMT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Mar 17, 2025; 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.

Verify at the official NPI Registry.