NPI 1205054533

Northern Illinois Nephrology

Organisation Specialist Rockford, IL

Practice location

Address: 1340 Charles St Suite 400, Rockford, IL 61104-2200
Phone: (815) 398-9590
Fax: (815) 398-9591

Authorised official

Name: David L Wright
Title: Ceo
Phone: (815) 398-9590

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1205054533
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.