NORTHERN ILLINOIS NEPHROLOGY, S.C (NPI# 1295753176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295753176 |
Entity Type | Organization |
Organization Name | NORTHERN ILLINOIS NEPHROLOGY, S.C |
Practice Address |
1340 Charles St Ste 400 Rockford IL 61104-2200 |
Practice Telephone | 8153989590 |
Mailing Telephone | 8153989590 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID L WRIGHT (PRESIDENT/OWNER) |
Authorized Official Telephone | 8153989590 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
Street Address |
1340 CHARLES ST STE 400 |
City | ROCKFORD |
State | IL |
Zip Code | 61104-2200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295905107 | Gayatri Sonti | Neurological Surgery | 1340 Charles St Ste 400, Rockford, IL 61104-2200 | 2008-03-06 |
1710044383 | Melissa Yvonne Macias | Neurological Surgery | 1340 Charles St Ste 400, Rockford, IL 61104-2200 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
Find all providers in zip 61104 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306041918 | Talal Mahmood | Internal Medicine | 6940 Villagreen Vw, Rockford, IL 61107-5605 | 2007-06-15 |
1821016791 | Joanna M Niemiec | Internal Medicine | 612 Roxbury Road, Rockford, IL 61107-5089 | 2006-07-18 |
1104827427 | James Stim | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2005-08-09 |
1518433564 | Laquisha M Thompson | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2018-10-17 |
1326526716 | Muamer Mulasmajic | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2018-07-30 |
1861816167 | Kidney Care Center Rockford LLC | Internal Medicine | 6940 Villagreen Vw, Rockford, IL 61107-5605 | 2014-02-07 |
1558593095 | Krishna K R Manda | Internal Medicine | 6940 Villagreen Vw, Rockford, IL 61107-5605 | 2009-08-18 |
1992961593 | Charlene D Murdakes | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2008-08-03 |
1336326388 | Rna of Rockford, LLC | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107 | 2008-01-22 |
1043418908 | Nephrology Associates of Northern Illinois Ltd | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2007-07-03 |
Find all providers in ROCKFORD |
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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.