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DIALYSIS OF NORTHERN ILLINOIS LLC NPI 1518365428


NPI Information

NPI: 1518365428
Provider Name: DIALYSIS OF NORTHERN ILLINOIS LLC

Doing Business As: BELVIDERE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2107099

Address:
1751 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008
Phone: (815) 544-0311
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DIALYSIS OF NORTHERN ILLINOIS LLC is an end-stage renal disease (esrd) treatment clinic center in Belvidere, IL. DIALYSIS OF NORTHERN ILLINOIS LLC NPI is 1518365428. The provider is registered as an organization entity type.
The provider Is Doing Business As Belvidere Dialysis.

The provider's business location address is:

1751 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008-702
Phone: (815) 544-0311
Fax: (815) 544-9292

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 14D2107099 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 8/18/2021.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 11/14/2023

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