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DIALYSIS OF NORTHERN ILLINOIS LLC NPI 1184900920


NPI Information

NPI: 1184900920
Provider Name: DIALYSIS OF NORTHERN ILLINOIS LLC

Doing Business As: CRIMSON RIDGE HOME TRAINING

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2033187

Address:
2540 HAUSER ROSS DR STE 200
SYCAMORE, IL
ZIP 60178
Phone: (815) 748-3508
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DIALYSIS OF NORTHERN ILLINOIS LLC is an end-stage renal disease (esrd) treatment clinic center in Sycamore, IL. DIALYSIS OF NORTHERN ILLINOIS LLC NPI is 1184900920. The provider is registered as an organization entity type.
The provider Is Doing Business As Crimson Ridge Home Training.

The provider's business location address is:

2540 HAUSER ROSS DR STE 200
SYCAMORE, IL
ZIP 60178-171
Phone: (815) 748-3508
Fax: (815) 748-3825

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 14D2033187 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 1/12/2022.


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
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: 5/5/2024

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