Organization Active NPI

Dialysis Care Center Evergreen Park LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Evergreen Park, IL
National Provider Identifier
1922619824
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CARE CENTER EVERGREEN PARK LLC
Practice address
9834 S Kedzie Ave
Evergreen Park, IL 60805-3135
Phone
(708) 918-3200
Fax
(708) 918-3201
NPI assigned
Aug 13, 2020
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Morufu Olatunji AlausaNPI 1730135955
Title
Chief Medical Director
Phone
(815) 741-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9834 S Kedzie Ave
Evergreen Park, IL 60805-3135

Mailing address

PO Box 428
Lockport, IL 60441-6428
Phone (815) 714-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917002766 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 4981022233 Practice locations: Evergreen Park, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DCC - Evergreen ParkCCN 142873
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Nov 2, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
14

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

9834 S Kedzie Ave
Evergreen Park, IL 60805
Phone (708) 918-3200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1922619824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416428",
            "telephone_number": "815-714-7170",
            "fax_number": "630-672-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053135",
            "telephone_number": "708-918-3200",
            "fax_number": "708-918-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CARE CENTER EVERGREEN PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.