Organization · Type 2 NPI

Pekin Dialysis LLC

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

NPI number 1619218732 Active

Practice location

1021 Court St Ste A
Pekin, IL 61554-4807

Call (309) 478-1000 Map

Fax (309) 346-1369

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 Pekin

Fresenius Medical Care of Illinois, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Pekin, IL NPI 1073944427
Dialysis Centers of America - Illinois, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Pekin, IL NPI 1528173374

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NPI record

NPI: 1619218732
Entity type: Organization (Type 2)
Issued: Mar 14, 2013
Last updated: Aug 6, 2026
Status: Active

Other names

<unavail>
Tazewell County Dialysis · doing business as
Tazewell County Dialysis · 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 1619218732

Pekin Dialysis LLC's National Provider Identifier is 1619218732, issued on Mar 14, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pekin, IL. The record was last updated on Aug 6, 2026.