NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS (NPI# 1063605053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063605053 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS |
| Practice Address |
114 8th St Monroe WI 53566-1050 |
| Practice Telephone | 7083861000 |
| Practice Fax Number | 7083868409 |
| Mailing Telephone | 7083861000 |
| Mailing Fax Number | 7083868409 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | ARTHUR M MORRIS (MD) |
| Authorized Official Telephone | 7083861000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134319924 | Nephrology Associates of Northern Illinois | Internal Medicine | On25winfield Road, Winfield, IL 60190 | 2007-07-27 |
| 1447403852 | Nephrology Associates of Northern Illinois | Internal Medicine | 650 Dakota St, Suite C, Crystal Lake, IL 60012-3744 | 2008-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD | 120 W. 22nd Street, Oak Brook, IL 60523 |
| Street Address |
114 8TH ST |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598774929 | Dialysis of Northern Illinois LLC | Clinic/Center | 114 8th St, Monroe, WI 53566-1050 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| 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 |
|---|---|---|---|---|
| 1760478630 | Charles B Joyce Jr. | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2005-09-26 |
| 1861993982 | Sara Elizabeth Chapman | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2018-02-23 |
| 1578989505 | Northeast Renal & Dialysis, A Professional Medical Corporation | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2014-03-14 |
| 1164723920 | Renal Services of Northeast Louisiana A Prof Med Corp | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2010-11-10 |
| 1417258278 | Okechukwu Ifediora Mdpc Inc | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2010-11-10 |
| 1558662304 | Nephrology Services of Northeast Louisiana A Prof Medical Corp | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2010-11-10 |
| 1548561301 | Kidney Services of Northeast La A Professional Medical Corporation | Internal Medicine | 1908 Royal Ave, Monroe, LA 71201-5724 | 2010-11-10 |
| 1255592515 | Kavita B. Ahuja | Internal Medicine | 2 Research Way, Suite 301, Monroe, NJ 08831-6816 | 2008-06-19 |
| 1053587071 | Hypertension and Nephrology Specialists LLC | Internal Medicine | 2 Research Way, Suite 301, Monroe, NJ 08831-6816 | 2008-04-30 |
| 1255504031 | Ojas Mehta | Internal Medicine | 2 Research Way, Suite 301 (hypertension and Nephrology Specialists, LLC, Monroe, NJ 08831-6816 | 2008-04-11 |
| Find all providers in MONROE | ||||
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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.