Country Hills Dialysis

LBN: Isd Renal Inc
Country Hills Dialysis is an health care organization with primary practice located at 4215 W 167Th St , Country Club Hills IL 60478-2017. 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. Isd Renal Inc can be contacted via phone (708) 206-1845, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
4215 W 167Th St Country Club Hills IL 60478-2017
Phone: (708) 206-1845
Fax: (708) 957-7521
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1073532420
LBN Legal business name Isd Renal Inc
DBA Doing business as Country Hills Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 1st, 2023 - about last year

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 1073532420 NPPES
Illinois MEDICAID =========

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