Organization · Type 2 NPI

Freeportbay Dialysis LLC

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

NPI number 1225300056 Active

Practice location

1808 S West Ave
Freeport, IL 61032-6712

Call (815) 232-0295 Map

Fax (815) 232-1635

Mailing address

5200 Virginia Way, Att: 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 Freeport

Renal Treatment Centers-Illinois IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Freeport, IL NPI 1568431864

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NPI record

NPI: 1225300056
Entity type: Organization (Type 2)
Issued: Feb 9, 2012
Last updated: Mar 31, 2025
Status: Active

Other names

<unavail>
Driftwood Dialysis · doing business as
Driftwood Dialysis · doing business as

Authorized official

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

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About NPI 1225300056

Freeportbay Dialysis LLC's National Provider Identifier is 1225300056, issued on Feb 9, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Freeport, IL. The record was last updated on Mar 31, 2025.