RENALCARE ASSOCIATES S.C. NPI 1649300377

NPI Information

  • NPI: 1649300377
  • Provider Name: RENALCARE ASSOCIATES, S.C.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • :
  • CLIA Number: 14D2056529
  • Address: 420 NE GLEN OAK AVE STE 401
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 676-8123

Map and Directions

Get Directions

NPI Details

RENALCARE ASSOCIATES, S.C. is a nephrology internal medicine in Peoria, 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. RENALCARE ASSOCIATES, S.C. NPI is 1649300377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

420 NE GLEN OAK AVE STE 401
PEORIA, IL
ZIP 61603-112
Phone: (309) 676-8123
Fax: (309) 676-8455

The provider's authorized official is Stephanie Eyman .
The authorized official title is Administrative Assistant and has the following contact phone number (309) 624-9259.

The CLIA number assigned to this NPI record is 14D2056529 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery042003556ILLINOISNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207RN0300XInternal MedicineNephrology042003556ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17215040OTHERILLINOISBCBS GROUP NUMBER
2CA301OTHERILLINOISRAILROAD MEDICARE
3=========MEDICAIDILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI