OrganizationActive
Dialysis of Northern Illinois LLC
NPI 1003875402 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL
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
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
622 Roxbury Rd
Rockford, IL 61107-5089
Phone: (815) 397-0713
Fax: (815) 397-0796
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027
Other names (DBA / former)
- Doing business as
- Roxbury Dialysis Center
- Doing business as
- Roxbury Dialysis Center
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2026-04-08
- Certified
- 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.