Organization · Type 2 NPI

Dialysis of Northern Illinois LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL

NPI number 1003875402 Active

Practice location

622 Roxbury Rd
Rockford, IL 61107-5089

Call (815) 397-0713 Map

Fax (815) 397-0796

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1003875402

Dialysis of Northern Illinois LLC's National Provider Identifier is 1003875402, issued on Mar 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Rockford, IL. The record was last updated on Apr 8, 2026.