DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. (NPI# 1245345099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245345099 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. |
| Other Organization Name | RCG CENTRAL ILLINOIS-PEORIA NORTH |
| Practice Address |
10405 N Juliet Ct Peoria IL 61615-1152 |
| Practice Telephone | 3092432200 |
| Practice Fax Number | 3092432240 |
| Mailing Telephone | 3092432200 |
| Mailing Fax Number | 3092432240 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | MR. MARK R. FAWCETT (SVP & TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
|---|---|
| RCG CENTRAL ILLINOIS-PEORIA NORTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447368360 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1601 Mercury Ct, Suite 3a, Ottawa, IL 61350-9323 | 2006-08-29 |
| 1265548192 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 12 Wolfer Industrial Drive, Spring Valley, IL 61362 | 2006-08-22 |
| 1467568394 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1505 Eastland Medical Plaza, Lower Level, Bloomington, IL 61701 | 2006-08-22 |
| 1063527810 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9801 Woods Dr, Skokie, IL 60077-1074 | 2006-08-20 |
| 1982719738 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1830 S 44th St, Decatur, IL 62521-5147 | 2006-08-20 |
| 1083729834 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 3300 N Main St, East Peoria, IL 61611-1562 | 2006-08-20 |
| 1891800645 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 340 S Avenue B, Canton, IL 61520-3047 | 2006-08-20 |
| 1629183470 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2601 Harlem Ave, 1st Floor, Berwyn, IL 60402-2100 | 2006-08-20 |
| 1508971359 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 2953 Central St, Floor 1, Evanston, IL 60201-1245 | 2006-08-20 |
| 1265547012 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 9160 W 159th St, Orland Park, IL 60462-5648 | 2006-08-20 |
| Street Address |
10405 N JULIET CT |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
| 1518490036 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 300, Peoria, IL 61614-5021 | 2017-04-11 |
| 1275922890 | Home Dialysis Services Peoria LLC | Clinic/Center | 719 Main St Ste B, Peoria, IL 61602-1084 | 2015-01-20 |
| 1497867394 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 13090 N 94th Dr Ste 100, Peoria, AZ 85381-4257 | 2006-08-31 |
| 1437264280 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 410 W Romeo B Garrett Ave, Peoria, IL 61605-2401 | 2006-08-20 |
| 1508100470 | Desert Rocks Dialysis LLC | Clinic/Center | 7362 W Thunderbird Rd, Ste. 104, Peoria, AZ 85381-5028 | 2012-11-16 |
| 1073799383 | Total Renal Care Inc | Clinic/Center | 719 Main St, Peoria, IL 61602-1083 | 2008-01-16 |
| 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 |
| 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 |
| 1609425651 | Joliet Dialysis LLC | Clinic/Center | 214 Collins St, Joliet, IL 60432-2919 | 2019-09-11 |
| 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.