Provider Demographics
NPI:1417298498
Name:FRESENIUS MEDICAL CARE NAPERBROOK, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE NAPERBROOK, LLC
Other - Org Name:FRESENIUS MEDICAL CARE NAPERBROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:2451 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-5419
Mailing Address - Country:US
Mailing Address - Phone:630-428-9769
Mailing Address - Fax:630-428-9870
Practice Address - Street 1:2451 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-5419
Practice Address - Country:US
Practice Address - Phone:630-428-9769
Practice Address - Fax:630-428-9870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-15
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility