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KIDNEY CARE CENTER SOUTH LLC
NPI 1427399211
Internal Medicine - Nephrology in Oak Lawn, IL

Active since March 05, 2013CLIA 14D2069057 · Waiver
4457 SOUTHWEST HIGHWAY, SUITE 201, OAK LAWN, IL 60453(708) 598-2448(708) 827-5419 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2022, Nov 3, 2020, Mar 20, 2018 and 1 more (4 updates tracked since 2016).

About Kidney Care Center South Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY CARE CENTER SOUTH LLC (NPI 1427399211) is a healthcare organization registered as a nephrology in Oak Lawn, Illinois and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through November 17, 2027, maintains 2 additional practice locations, and lists Morufu Alausa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1427399211
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER SOUTH LLC
Location Address4457 SOUTHWEST HIGHWAY, SUITE 201Oak Lawn, IL 60453
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Phone(708) 598-2448
Fax(708) 827-5419
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director · (815) 741-6830
Enumeration DateMarch 5, 2013
Last NPPES UpdateFebruary 23, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1427399211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4457 SOUTHWEST HIGHWAY, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110508 S Roberts RdPalos Hills, IL 60465-1934 · Phone (708) 598-2448 · Fax (708) 827-5419
Location 24400 W 95th St Ste 201Oak Lawn, IL 60453-2657 · Phone (708) 598-2448

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2069057

Kidney Care Center South L L C · Oak Lawn, IL
Active · expires Nov 17, 2027
CLIA Number14D2069057
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorMorufu Alausa
Laboratory Phone(708) 598-2448
Laboratory LocationKidney Care Center South L L C4457 Southwest Hwy - Ste 201, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUHAMMAD OMER M.D.
Internal Medicine (Nephrology)
4457 SOUTHWEST HIGHWAY, SUITE 201
OAK LAWN, IL 60453
Cook County (708) 598-2448
SUSHANT RAMDAS TAKSANDE MD
Internal Medicine (Nephrology)
4457 SOUTHWEST HIGHWAY, SUITE 201
OAK LAWN, IL 60453
Cook County (708) 598-2448
OSEZUA OLEAR
Internal Medicine (Nephrology)
4457 SOUTHWEST HIGHWAY, SUITE 201
OAK LAWN, IL 60453
Cook County (708) 598-2448
DR. SONJA MARCIC MD
Internal Medicine (Nephrology)
4457 SOUTHWEST HIGHWAY, SUITE 201
OAK LAWN, IL 60453
Cook County (708) 598-2448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Care Center South LLC's NPI number?

The NPI number for Kidney Care Center South LLC is 1427399211. It was assigned to this organization in the NPPES registry on March 5, 2013.

Where is Kidney Care Center South LLC located?

Kidney Care Center South LLC is located at 4457 Southwest Highway Suite 201, Oak Lawn, IL 60453. The listed phone number is (708) 598-2448.

What is Kidney Care Center South LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Kidney Care Center South LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2069057) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care Center South LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kidney Care Center South LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Care Center South LLC was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.