Dialysis of Northern Illinois LLC

NPI #1003875402 in Rockford, Illinois

Provider Information

NPI Number
1003875402
Entity Type
Organization
Organization Name
Dialysis of Northern Illinois LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 23, 2006
Last Updated
May 14, 2025

Practice Location

Address
622 ROXBURY RD
ZIP Code
61107-5089
Phone
(815) 397-0713

Authorized Official

Name
SAMUEL T WEY
Title
VP, LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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