DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. (NPI# 1083729834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083729834 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. |
| Other Organization Name | RCG CENTRAL ILLINOIS-EAST PEORIA |
| Practice Address |
3300 N Main St East Peoria IL 61611-1562 |
| Practice Telephone | 3096988300 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RCG CENTRAL ILLINOIS-EAST PEORIA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447368360 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1601 Mercury Ct, Suite 3a, Ottawa, IL 61350-9323 | 2006-08-29 |
| 1265548192 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 12 Wolfer Industrial Drive, Spring Valley, IL 61362 | 2006-08-22 |
| 1467568394 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1505 Eastland Medical Plaza, Lower Level, Bloomington, IL 61701 | 2006-08-22 |
| 1063527810 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9801 Woods Dr, Skokie, IL 60077-1074 | 2006-08-20 |
| 1982719738 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1830 S 44th St, Decatur, IL 62521-5147 | 2006-08-20 |
| 1891800645 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 340 S Avenue B, Canton, IL 61520-3047 | 2006-08-20 |
| 1629183470 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2601 Harlem Ave, 1st Floor, Berwyn, IL 60402-2100 | 2006-08-20 |
| 1508971359 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2953 Central St, Floor 1, Evanston, IL 60201-1245 | 2006-08-20 |
| 1265547012 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9160 W 159th St, Orland Park, IL 60462-5648 | 2006-08-20 |
| 1972618726 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1404 Eastland Dr, Unit 103, Bloomington, IL 61701-3532 | 2006-08-20 |
| Street Address |
3300 N MAIN ST |
| City | EAST PEORIA |
| State | IL |
| Zip Code | 61611-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214144 | Adebimpe Favour Erebholo | Registered Nurse | 3300 N Main St, East Peoria, IL 61611-1562 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548736390 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 133 Spinder Drive Ste 4015, East Peoria, IL 61611 | 2018-10-19 |
| 1083128474 | Abc Counseling & Family Services | Clinic/Center | 111 W. Washington St., Suite 410b, East Peoria, IL 61611 | 2017-11-22 |
| 1386162253 | Cheryl Denise Hagedorn | Speech-Language Pathologist | 306 Eckley Avenue, East Peoria, IL 61611 | 2017-08-31 |
| 1710342076 | Rebecca Uthe | Physical Therapist | 901 Illini Drive, East Peoria, IL 61611 | 2015-12-30 |
| 1669812103 | Christopher Webb | Dentist | 360 West Washington Street, East Peoria, IL 61611 | 2013-06-28 |
| 1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
| 1730432675 | Synergy Healthcare Physical Medicine Sc | Chiropractor | 350 Cimmeron Drive, East Peoria, IL 61611 | 2012-10-16 |
| 1508122029 | Daniel Benjamin Gans | Radiology | 111 Oakwood Rd, East Peoria, IL 61611 | 2012-04-10 |
| 1326288390 | Sara Sabry Fouad Rizk | Pharmacist | 2540 East Washington Street, East Peoria, IL 61611 | 2009-03-03 |
| 1356466007 | Tazwood Mental Health Center, Inc. | Counselor | 111 W. Washington Street, Suite 230, East Peoria, IL 61611 | 2007-03-20 |
| Find all providers in zip 61611 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467016709 | Fresenius Medical Care East Peoria Home, LLC | Clinic/Center | 415 Richland St, East Peoria, IL 61611-2476 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550486 | Home Dialysis & Kidney Care Limited | Clinic/Center | 1252 Ogden Ave Ste D, Downers Grove, IL 60515-2740 | 2020-08-28 |
| 1922619824 | Dialysis Care Center Evergreen Park LLC | Clinic/Center | 9834 S Kedzie Ave, Evergreen Park, IL 60805-3135 | 2020-08-13 |
| 1558970525 | Concerto Massachusetts LLC | Clinic/Center | 4600 W Touhy Ave Ste 100, Lincolnwood, IL 60712-1606 | 2020-07-27 |
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1376162735 | Hopkinton Dialysis LLC | Clinic/Center | 6001 W Ogden Ave, Cicero, IL 60804-3739 | 2020-04-15 |
| 1710511399 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1946 Grand Avenue, Granite City, IL 62040-4613 | 2020-02-24 |
| 1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
| 1033741608 | Fresenius Medical Care New Lenox, LLC | Clinic/Center | 662 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2020-02-11 |
| 1730725904 | Perryton Dialysis LLC | Clinic/Center | 8604 Woodward Ave, Woodridge, IL 60517-3171 | 2019-11-22 |
| 1124678529 | Dialyze Direct Il LLC | Clinic/Center | 410 S Heinlein Dr, Shelbyville, IL 62565-7800 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST PEORIA |
| Zip Code | 61611 |
Please comment or provide details below to improve the information on DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.