Organization · Type 2 NPI

Dialysis of Northern Illinois LLC

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

NPI number 1184900920 Active

Practice location

2540 Hauser Ross Dr Ste 200
Sycamore, IL 60178-3171

Call (815) 748-3508 Map

Fax (815) 748-3825

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 Sycamore

Dialysis of Northern Illinois LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Sycamore, IL NPI 1295794485

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NPI record

NPI: 1184900920
Entity type: Organization (Type 2)
Issued: Oct 25, 2011
Last updated: Feb 28, 2025
Status: Active

Other names

<unavail>
Crimson Ridge Home Training · doing business as
Crimson Ridge Home Training · doing business as

Authorized official

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

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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.

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About NPI 1184900920

Dialysis of Northern Illinois LLC's National Provider Identifier is 1184900920, issued on Oct 25, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sycamore, IL. The record was last updated on Feb 28, 2025.