Optimum Kidney Care Sc

LBN: Optimum Kidney Care Sc
Optimum Kidney Care Sc is an health care organization with primary practice located at 331 W Surf St Ste 703 , Chicago IL 60657-7227. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Optimum Kidney Care Sc can be contacted via phone (773) 525-4701, or through Salem, Mohamed Medhat via phone (773) 525-4701.

Contact Information

Primary practice address
331 W Surf St Ste 703 Chicago IL 60657-7227
Phone: (773) 525-4701
Fax: (773) 326-3539
Website:
Map and Directions
Authorized official contact:
Name: Salem, Mohamed Medhat
Phone: (773) 525-4701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1306893797
LBN Legal business name Optimum Kidney Care Sc
DBA Doing business as
Authorized official Salem, Mohamed Medhat
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Apr 9th, 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 1306893797 NPPES
Illinois Other 01636011 BCBS PROVIDER ID
Illinois Other 151011 BCBS PROVIDER ID
Illinois Other DE4201 BCBS PROVIDER ID

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