Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kidney Center South LLC

Q: What is the NPI number for Kidney Center South LLC?

The NPI for Kidney Center South LLC is 1063878072, a Type 2 (organization) record in the CMS NPPES registry.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tinley Park, IL · enumerated 2016 · authorized official Samuel Wey, Vp Licensure & Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063878072

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Registry record

Entity type Organization (Type 2)

Legal business name Kidney Center South LLC

Other name <Unavail>

Practice address 16767 80th Ave, Tinley Park, IL, 60477

Phone (708) 429-4738

Fax (708) 429-4984

Enumeration date Jan 6, 2016

Last updated in NPPES Jun 11, 2025

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Wey

Title Vp Licensure & Certification

Phone (615) 341-6641

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kidney Center South LLC?

The NPI for Kidney Center South LLC is 1063878072, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Kidney Center South LLC?

NPPES lists Samuel Wey (Vp Licensure & Certification) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-11.