DIALYSIS OF NORTHERN ILLINOIS LLC is an end-stage renal disease (esrd) treatment clinic center in Belvidere, IL. DIALYSIS OF NORTHERN ILLINOIS LLC NPI is 1518365428. The provider is registered as an organization entity type.
The provider Is Doing Business As Belvidere Dialysis.
The provider's business location address is:
1751 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008-702
Phone: (815) 544-0311
Fax: (815) 544-9292
The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 14D2107099 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/9/2014 and was last updated on 11/9/2023.