Organization · Type 2 NPI
Dialysis of Northern Illinois LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dekalb, IL
NPI number
1073856993
Active
Practice location
1001 S Annie Glidden Rd
Dekalb, IL 60115-8250
Fax (815) 748-3148
Mailing address
5200 Virginia Way, Licensure And Certification
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...
About NPI 1073856993
Dialysis of Northern Illinois LLC's National Provider Identifier is 1073856993, issued on Mar 28, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dekalb, IL. The record was last updated on Jan 20, 2025.