OrganizationActive
Dialysis of Northern Illinois LLC
NPI 1073856993 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dekalb, IL
Provider details
- NPI number
- 1073856993
- 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
1001 S Annie Glidden Rd
Dekalb, IL 60115-8250
Phone: (815) 748-3074
Fax: (815) 748-3148
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Timber Creek Dialysis
- Doing business as
- Timber Creek Dialysis
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.