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PROVIDENT DIALYSIS CENTER
NPI 1831846922
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chicago, IL

Active since March 08, 2022
430 EAST 51ST PL, CHICAGO, IL 60615(312) 864-0200 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Provident Dialysis Center NPPES

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

PROVIDENT DIALYSIS CENTER (NPI 1831846922) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chicago, Illinois and active in the NPI registry since March 2022. The organization lists Scott Andrle, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1831846922
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCOOK COUNTY
Location Address430 EAST 51ST PLChicago, IL 60615
Mailing Address430 East 51st PlChicago, IL 60615
Phone(312) 864-0200
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care · (312) 864-4649
Enumeration DateMarch 8, 2022
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1831846922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
Also ListedTechnician, Other · Renal DialysisTaxonomy 2472R0900X
430 EAST 51ST PL, Chicago, IL 60615
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Other Names 1

Doing Business AsProvident Dialysis Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

COOK COUNTY
Technician, Other (Renal Dialysis)
430 EAST 51ST PL
CHICAGO, IL 60615
Cook County (312) 864-0200

Frequently Asked Questions

What is COOK COUNTY's NPI number?

The NPI number assigned to this healthcare provider is 1831846922, enumerated as an "organization" on March 08, 2022.

Where is the provider located?

The provider is located at 430 EAST 51ST PL CHICAGO, IL 60615 and the phone number is (312) 864-0200.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.