Usrc Streamwood LLC

Primary specialty

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

Legal business name

USRC STREAMWOOD LLC

Doing business as

U.S. Renal Care Streamwood Dialysis

Practice address

149 E Irving Park Rd
Streamwood, IL 60107-2950

Phone

(630) 289-2104

Fax

(630) 289-2284

NPI assigned

May 24, 2012

Last updated

Oct 28, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INCAs reported in NPPES

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) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Streamwood Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Usrc Streamwood DialysisCCN 142738

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 24, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 2

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

• Raju B Ray, MD

  • Nephrology Physician
  • Elk Grove Village, IL
  • NPI 1487652186

  Dialysis facility

  Care Compare affiliation Name & address match
• Khurram Saleem, M.D.

  • Nephrology Physician
  • Elk Grove Village, IL
  • NPI 1467730192

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1881954774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072950",
            "telephone_number": "630-289-2104",
            "fax_number": "630-289-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC STREAMWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
        "enumeration_date": "2012-05-24",
        "last_updated": "2013-10-28",
        "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": "214-736-2700"
    },
    "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": "U.S. Renal Care Streamwood Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas A Traven, D.C.
• Victoria Chau Trieu
• Neva Tuzzolino, DT
• United Dental Group PLLC
• Kristin Uryasz
• Caroline Beth Valdez, APRN
• Heidi Valerio, M.S.
• Sarah Valverde, MS, CCC-SLP
• Kristopher Grey Van Meter, LCPC
• Brianna Britt Vasquez

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Streamwood, IL
• Providers in Streamwood, 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 Oct 28, 2013; 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.