Organization · Type 2 NPI

Machesney Bay Dialysis, LLC

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

NPI number 1033658349 Active

Practice location

198 N Springfield Ave
Rockford, IL 61101-5086

Call (815) 962-8914 Map

Fax (815) 962-8952

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Rockford

See all in Rockford →

NPI record

NPI: 1033658349
Entity type: Organization (Type 2)
Issued: Feb 20, 2017
Last updated: Jun 9, 2025
Status: Active

Other names

<unavail>
Forest City Dialysis · doing business as
Forest City Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1033658349

Machesney Bay Dialysis, LLC's National Provider Identifier is 1033658349, issued on Feb 20, 2017. 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 Jun 9, 2025.