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: August 16, 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
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

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.

Technician, Other (Renal Dialysis)
430 EAST 51ST PL
CHICAGO, IL 60615

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 Cook County's NPI number?

The NPI number for Cook County is 1831846922. It was assigned to this organization in the NPPES registry on March 8, 2022. The provider is doing business as Provident Dialysis Center.

Where is Cook County located?

Cook County is located at 430 East 51st Pl, Chicago, IL 60615. The listed phone number is (312) 864-0200.

What is Cook County's specialty?

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

When was this NPI record last updated?

The NPPES record for Cook County was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.