Active NPI
Dialysis Care Center Evergreen Park LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morufu Olatunji Alausa
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Park
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 2, 2020
- Medicare certification status
- Active
- 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 DirectoryLocations
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.
-
- Nephrology Physician
- Joliet, IL
- NPI 1730135955
-
- Nephrology Physician
- Oak Lawn, IL
- NPI 1336375096
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.