What is Dialysis of Northern Illinois LLC's NPI number?

Dialysis of Northern Illinois LLC's National Provider Identifier (NPI) is 1003875402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Dialysis of Northern Illinois LLC?

Dialysis of Northern Illinois LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).

Where is Dialysis of Northern Illinois LLC located?

Dialysis of Northern Illinois LLC's practice location on file with NPPES is 622 Roxbury Rd, Rockford, IL 61107-5089.

What is Dialysis of Northern Illinois LLC's phone number?

The practice phone number listed in the NPPES registry for Dialysis of Northern Illinois LLC is (815) 397-0713.

Does Dialysis of Northern Illinois LLC accept Medicare?

Dialysis of Northern Illinois LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Dialysis of Northern Illinois LLC?

The authorized official listed on Dialysis of Northern Illinois LLC's NPPES record is Samuel Wey, Vp, Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Dialysis of Northern Illinois LLC's NPI active?

Yes — Dialysis of Northern Illinois LLC's NPI (1003875402) is active in the NPPES registry as of the last update on 2026-04-08.

OrganizationActiveAccepts Medicare

Dialysis of Northern Illinois LLC

NPI 1003875402 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL

Dialysis of Northern Illinois LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Rockford, IL (NPI 1003875402).

Provider details

NPI number: 1003875402
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Samuel Wey, Vp, Licensure & Certification(615) 341-6641

Practice location

622 Roxbury Rd

Rockford, IL 61107-5089

Phone: (815) 397-0713

Fax: (815) 397-0796

Street-level locationGet directions

More IL providers

Mailing address

5200 Virginia Way

Brentwood, TN 37027

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Roxbury Dialysis Center
Doing business as: Roxbury Dialysis Center

Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2006-03-23
Last updated: 2026-04-08
Certified: 2026-04-08

Frequently asked questions

What is Dialysis of Northern Illinois LLC's NPI number?: Dialysis of Northern Illinois LLC's National Provider Identifier (NPI) is 1003875402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Dialysis of Northern Illinois LLC?: Dialysis of Northern Illinois LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
Where is Dialysis of Northern Illinois LLC located?: Dialysis of Northern Illinois LLC's practice location on file with NPPES is 622 Roxbury Rd, Rockford, IL 61107-5089.
What is Dialysis of Northern Illinois LLC's phone number?: The practice phone number listed in the NPPES registry for Dialysis of Northern Illinois LLC is (815) 397-0713.
Does Dialysis of Northern Illinois LLC accept Medicare?: Dialysis of Northern Illinois LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Dialysis of Northern Illinois LLC?: The authorized official listed on Dialysis of Northern Illinois LLC's NPPES record is Samuel Wey, Vp, Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Dialysis of Northern Illinois LLC's NPI active?: Yes — Dialysis of Northern Illinois LLC's NPI (1003875402) is active in the NPPES registry as of the last update on 2026-04-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions