OrganizationActive
Dialysis Centers of America - Illinois, Inc.
NPI 1467568394 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bloomington, IL
Provider details
- NPI number
- 1467568394
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Fawcett, Treasurer(781) 402-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1505 Eastland Medical Plaza
Lower Level
Bloomington, IL 61701
Phone: (309) 663-7165
Approximate (ZIP-level) locationGet directions
Mailing address
1505 Eastland Medical Plaza
Bloomington, IL 61701
Other names (DBA / former)
- Doing business as
- Rcg Central Illinois-Bloomington
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.