DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. (NPI# 1437264280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437264280 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. |
| Other Organization Name | RCG CENTRAL ILLINOIS-PEORIA DOWNTOWN |
| Practice Address |
410 W Romeo B Garrett Ave Peoria IL 61605-2401 |
| Practice Telephone | 3096374100 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
|---|---|
| RCG CENTRAL ILLINOIS-PEORIA DOWNTOWN | 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 |
410 W ROMEO B GARRETT AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| 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 |
| 1245345099 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 10405 N Juliet Ct, Peoria, IL 61615-1152 | 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 | ||||
Please comment or provide details below to improve the information on DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC..
| 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.