Organization
EXCEL RENAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM M SYED SHAH (MANAGER)
(630) 748-9407
Entity
Organization
Contact information
Practice address
3002 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 296-3003
(773) 296-3002
Mailing address
PO BOX 68698, SCHAUMBURG, IL 60168-0698
(281) 853-4429
(773) 296-3002
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2017
Last updated
02/21/2020
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