DIALYSIS OF NORTHERN ILLINOIS LLC (NPI# 1871092510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871092510 |
| Entity Type | Organization |
| Organization Name | DIALYSIS OF NORTHERN ILLINOIS LLC |
| Other Organization Name | OWEN CENTER HOME TRAINING |
| Practice Address |
3927 W Riverside Blvd Rockford IL 61101-9507 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8159638010 |
| Practice Fax Number | 8159637921 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|
| Owen Center Home Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518365428 | Dialysis of Northern Illinois LLC | Clinic/Center | 1751 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2014-12-09 |
| 1073856993 | Dialysis of Northern Illinois LLC | Clinic/Center | 1001 S Annie Glidden Rd, Dekalb, IL 60115-8250 | 2013-03-28 |
| 1184900920 | Dialysis of Northern Illinois LLC | Clinic/Center | 2540 Hauser Ross Dr Ste 200, Sycamore, IL 60178-3171 | 2011-10-25 |
| 1598774929 | Dialysis of Northern Illinois LLC | Clinic/Center | 114 8th St, Monroe, WI 53566-1050 | 2006-08-05 |
| 1003875402 | Dialysis of Northern Illinois LLC | Clinic/Center | 622 Roxbury Rd, Rockford, IL 61107-5089 | 2006-03-23 |
| 1295794485 | Dialysis of Northern Illinois LLC | Clinic/Center | 2200 Gateway Dr, Sycamore, IL 60178-3113 | 2006-03-17 |
| Street Address |
3927 W RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1033658349 | Machesney Bay Dialysis, LLC | Clinic/Center | 198 N Springfield Ave, Rockford, IL 61101-5086 | 2017-02-20 |
| 1518276955 | Total Renal Care Inc | Clinic/Center | 1302 E State St, Rockford, IL 61104-2228 | 2010-10-04 |
| 1477647139 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 311 Rockford Park Dr Ne, Rockford, MI 49341-7817 | 2006-10-03 |
| 1154436905 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1302 E. State Street, Rockford, IL 61112-1061 | 2006-08-20 |
| 1285694729 | Renal Treatment Centers Illinois Inc | Clinic/Center | 417 Ware Ave, Rockford, IL 61107-6413 | 2006-03-27 |
| 1003875402 | Dialysis of Northern Illinois LLC | Clinic/Center | 622 Roxbury Rd, Rockford, IL 61107-5089 | 2006-03-23 |
| 1235198235 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3339 N Rockton Ave, Rockford, IL 61103-2839 | 2006-03-20 |
| 1962873919 | Renviva LLC | Clinic/Center | 1235 N Mulford Rd, Rockford, IL 61107-3879 | 2015-10-16 |
| 1922410125 | Home Dialysis Services Rockford LLC | Clinic/Center | 6940 Villagreen Vw, Rockford, IL 61107-5605 | 2014-05-22 |
| 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 | ||||
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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.