Diamond Dialysis Inc.

LBN: Diamond Dialysis Inc.
Diamond Dialysis Inc. is an health care organization with primary practice located at 9415 S Western Ave Ste 105, Chicago IL 60620-6232. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Diamond Dialysis Inc. can be contacted via phone (773) 238-5200, or through Nunez, Edwin S. via phone (773) 238-5200.

Contact Information

Primary practice address
9415 S Western Ave Ste 105 Chicago IL 60620-6232
Phone: (773) 238-5200
Fax: (773) 238-5527
Website:
Map and Directions
Authorized official contact:
Name: Nunez, Edwin S.
Phone: (773) 238-5200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1659374247
LBN Legal business name Diamond Dialysis Inc.
DBA Doing business as
Authorized official Nunez, Edwin S.
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374247 NPPES
Illinois Other 1633535 BLUE CROSS BLUE SHIELD

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