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NORTHERN ILLINOIS NEPHROLOGY S.C NPI 1295753176


NPI Information

NPI: 1295753176
Provider Name: NORTHERN ILLINOIS NEPHROLOGY, S.C
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1340 CHARLES ST STE 400
ROCKFORD, IL
ZIP 61104
Phone: (815) 398-9590
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NORTHERN ILLINOIS NEPHROLOGY, S.C is a nephrology internal medicine in Rockford, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHERN ILLINOIS NEPHROLOGY, S.C NPI is 1295753176. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1340 CHARLES ST STE 400
ROCKFORD, IL
ZIP 61104-200
Phone: (815) 398-9590

The provider's authorized official is David L Wright .
The authorized official title is President/owner and has the following contact phone number (815) 398-9590.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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