OrganizationActive
Fresenius Medical Care of Illinois, LLC
NPI 1164512661 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake Bluff, IL
Provider details
- NPI number
- 1164512661
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc
- Organization subpart
- Yes
- Authorized official
- Mark Fawcett, Treasurer(781) 699-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Waukegan Rd
Suite 700
Lake Bluff, IL 60044-1687
Phone: (847) 735-0870
Street-level locationGet directions
Mailing address
101 Waukegan Rd
Lake Bluff, IL 60044-1687
Other names (DBA / former)
- Doing business as
- Fresenius Medical Care of Lake Bluff
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2010-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.