Northern Illinois Nephrology, S.c

NPI #1295753176 in Rockford, Illinois

Provider Information

NPI Number
1295753176
Entity Type
Organization
Organization Name
Northern Illinois Nephrology, S.c
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Jul 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1340 CHARLES ST STE 400
ZIP Code
61104-2200
Phone
(815) 398-9590

Authorized Official

Name
DAVID L WRIGHT, MD
Title
PRESIDENT/OWNER
Phone
(815) 398-9590

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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