Kidney Care Services of Southern Illinois, Ltd
NPI 1669501912 · Medical Specialty Clinic/Center · Du Quoin, IL
Kidney Care Services of Southern Illinois, Ltd is a Medical Specialty Clinic/Center organization in Du Quoin, IL (NPI 1669501912).
Provider details
- NPI number
- 1669501912
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mohammad Shafi, Owner(618) 542-3048
- License
- 036102569 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2008-08-12
Frequently asked questions
- What is Kidney Care Services of Southern Illinois, Ltd's NPI number?
- Kidney Care Services of Southern Illinois, Ltd's National Provider Identifier (NPI) is 1669501912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidney Care Services of Southern Illinois, Ltd?
- Kidney Care Services of Southern Illinois, Ltd is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kidney Care Services of Southern Illinois, Ltd located?
- Kidney Care Services of Southern Illinois, Ltd's practice location on file with NPPES is 900 N Washington St, Du Quoin, IL 62832-1230.
- What is Kidney Care Services of Southern Illinois, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Kidney Care Services of Southern Illinois, Ltd is (618) 542-3048.
- Who is the authorized official for Kidney Care Services of Southern Illinois, Ltd?
- The authorized official listed on Kidney Care Services of Southern Illinois, Ltd's NPPES record is Mohammad Shafi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidney Care Services of Southern Illinois, Ltd's NPI active?
- Yes — Kidney Care Services of Southern Illinois, Ltd's NPI (1669501912) is active in the NPPES registry as of the last update on 2008-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.