Fresenius Medical Care of Illinois, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Doing business as

Fresenius Medical Care Waukegan Harbor

Practice address

110 N West St
Waukegan, IL 60085-4330

Phone

(547) 599-1346

Fax

(547) 599-1351

NPI assigned

Jun 10, 2011

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R. Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Waukegan Harbor Doing business as

Member of 1

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

• National Medical Care, Inc.

  dba Fresenius Medical Care of Brandywine

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wilmington, DE
  • NPI 1679677546

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1912292533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N WEST ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854330",
            "telephone_number": "547-599-1346",
            "fax_number": "547-599-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N WEST ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854330",
            "telephone_number": "547-599-1346",
            "fax_number": "547-599-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2011-06-10",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "Fresenius Medical Care Waukegan Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Jean Frank, MS
• James Eric Franke
• Eva Amber Frasca, APN
• Lisa Ann Frazier
• Fresenius Medical Care Lake County, LLC (Fresenius Medical Care Waukegan Harbor)
• Aislynn Friederichs
• David Fries
• Joseph E Frydman, M.D.
• David B Fuentes
• Stephany Fuentes

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Waukegan, IL
• Providers in Waukegan, 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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.