Organization · Type 2 NPI

Home Dialysis Services Riverside LLC

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

NPI number 1962084814 Active

Practice location

1007 W Riverside Blvd Ste B
Rockford, IL 61103-2158

Call (779) 256-4040 Map

Fax (779) 256-4086

Mailing address

PO Box 428
Lockport, IL 60441-6428

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1962084814

Home Dialysis Services Riverside LLC's National Provider Identifier is 1962084814, issued on Apr 21, 2021. 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 May 5, 2026.