Dialysis Of Northern Illinois Llc in Rockford - End-stage Renal Disease (esrd) Treatment
Dialysis Of Northern Illinois Llc - NPI 1003875402
Dialysis Of Northern Illinois Llc is a End-stage Renal Disease (esrd) Treatment in Rockford, Illinois. Dialysis Of Northern Illinois Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Of Northern Illinois Llc is 1003875402. The last update date is 2021-10-05.
Dialysis Of Northern Illinois Llc's current location address is 622 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153970713 and fax number 8153970796. The mailing address for Dialysis Of Northern Illinois Llc is 622 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Of Northern Illinois Llc |
|---|---|
| Address | 622 Roxbury Rd, Rockford, Illinois |
| Phone Number | 8153970713 |
| Fax Number | 8153970796 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel D John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1003875402 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2021-10-05 |
Provider Mailing Address Detail
| Address | 622 Roxbury Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075089 |
| Phone Number | 8153970713 |
| Fax Number | 8153970796 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the unique provider identifier assigned to Dialysis Of Northern Illinois Llc?
The Dialysis Of Northern Illinois Llc has been issued the NPI (National Provider Identifier) 1003875402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Dialysis Of Northern Illinois Llc's physical address?
The Dialysis Of Northern Illinois Llc is physically located at 622 Roxbury Rd, in the city of Rockford, IL, with the postal code 611075089.
What is Dialysis Of Northern Illinois Llc's area of expertise and its corresponding taxonomy classification?
The Dialysis Of Northern Illinois Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.
When did the Dialysis Of Northern Illinois Llc receive its 1003875402?
The Dialysis Of Northern Illinois Llc was issued its 1003875402 on 2006-03-23, which is the date when the organization was assigned this unique identifier.
As of what date were the Dialysis Of Northern Illinois Llc's details last updated?
The information pertaining to the Dialysis Of Northern Illinois Llc, including its address, specialty, and other details, was most recently updated on 2021-10-05.