FRESENIUS MEDICAL CARE SOUTH SHORE
NPI 1821421199
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chicago, IL

Active since August 09, 2013CLIA 14D0913105 · Waiver
2420 E 79TH ST, CHICAGO, IL 60649(773) 374-9002(773) 374-7115 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2023, Dec 22, 2020 (2 updates tracked since 2020).

About Fresenius Medical Care South Shore NPPES

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

FRESENIUS MEDICAL CARE SOUTH SHORE (NPI 1821421199) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chicago, Illinois and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1821421199
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFRESENIUS MEDICAL CARE CHICAGOLAND, LLC
Location Address2420 E 79TH STChicago, IL 60649-5112
Mailing Address2420 E 79th StChicago, IL 60649-5112 · (773) 374-9002 · Fax (773) 374-7115
Fax(773) 374-7115
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 9, 2013
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1821421199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
2420 E 79TH ST, Chicago, IL 60649

Other Names 1

Doing Business AsFresenius Medical Care South Shore

Accepted 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 14D0913105

Fresenius Medical Care South Shore · Chicago, IL
Active · expires Mar 20, 2028
CLIA Number14D0913105
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorGordon R. Lang MD
Laboratory Phone(773) 374-9002
Laboratory LocationFresenius Medical Care South Shore2420 East 79th Street, Chicago, IL 60649
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

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2420 E 79TH ST
CHICAGO, IL 60649

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 Fresenius Medical Care Chicagoland, LLC's NPI number?

The NPI number for Fresenius Medical Care Chicagoland, LLC is 1821421199. It was assigned to this organization in the NPPES registry on August 9, 2013. The provider is doing business as Fresenius Medical Care South Shore.

Where is Fresenius Medical Care Chicagoland, LLC located?

Fresenius Medical Care Chicagoland, LLC is located at 2420 E 79th St, Chicago, IL 60649. The listed phone number is (773) 374-9002.

What is Fresenius Medical Care Chicagoland, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Fresenius Medical Care Chicagoland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0913105) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fresenius Medical Care Chicagoland, LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc., Oscar Insurance Company and Oscar Insurance Corporation of Ohio and 1 other insurer list Fresenius Medical Care Chicagoland, 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 Fresenius Medical Care Chicagoland, LLC was last updated on October 19, 2023. 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.