| Home Dialysis & Kidney Care Limited | |
|
1252 Ogden Ave Ste D Downers Grove IL 60515-2740 | |
| (630) 876-9000 | |
| (630) 559-9004 |
| Full Name | Home Dialysis & Kidney Care Limited |
|---|---|
| Speciality | Clinic/Center |
| Location | 1252 Ogden Ave Ste D, Downers Grove, Illinois |
| Authorized Official Name and Position | Mohammad Vaseemuddin (PRESIDENT) |
| Authorized Official Contact | 8473235491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Dialysis & Kidney Care Limited 1252 Ogden Ave Ste D Downers Grove IL 60515-2740 Ph: (630) 876-9000 | Home Dialysis & Kidney Care Limited 1252 Ogden Ave Ste D Downers Grove IL 60515-2740 Ph: (630) 876-9000 |
| NPI Number | 1316550486 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 2961821350 |
|---|---|
| Medicare Enrollment ID | O20231219000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316550486 | NPI | - | NPPES |
| 036-110447 | Medicaid | IL |
| Provider Name | Mohammad Vaseemuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952453995 PECOS PAC ID: 4789625542 Enrollment ID: I20050523000107 |
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