Center for Renal Replacement, LLC

Primary specialty

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

Legal business name

CENTER FOR RENAL REPLACEMENT, LLC

Practice address

7301 N Lincoln Ave
Suite 205
Lincolnwood, IL 60712-1709

Phone

(847) 675-5555

Fax

(847) 675-7019

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James K Yeung, M.D.

Title

Medical Director and Administrator

Phone

(847) 675-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982775631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123544",
            "telephone_number": "847-674-0071",
            "fax_number": "847-674-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE",
            "address_2": "SUITE 205",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121709",
            "telephone_number": "847-675-5555",
            "fax_number": "847-675-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RENAL REPLACEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND ADMINISTRATOR",
        "authorized_official_telephone_number": "847-675-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50400",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carestaff Doctors LLC
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• Breanna Jean Carlson
• Erica M Catanese
• Celia Lipinski, S.C.
• Center for Smiles
• Pietra Krsna Chaar Cerqueira
• Sunina Moncy Chacko, NP-C
• Meghan Cheever
• Aiting Chen, LCPC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lincolnwood, IL
• Providers in Lincolnwood, 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 Aug 22, 2020; 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.