NPIMap

Organization Active NPI

Nephrology Associates of Northern Illinois

  • Nephrology Physician
  • Monroe, WI
National Provider Identifier
1063605053
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Practice address
114 8TH St
Monroe, WI 53566-1050
Phone
(708) 386-1000
Fax
(708) 386-8409
NPI assigned
Aug 22, 2007
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arthur M Morris
Title
MD
Phone
(708) 386-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

114 8TH St
Monroe, WI 53566-1050

Mailing address

PO Box 94644
Cleveland, OH 44101-4644
Phone (630) 573-5000

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates of Northern Illinois5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1063605053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94644",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014644",
            "telephone_number": "630-573-5000",
            "fax_number": "630-368-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 8TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661050",
            "telephone_number": "708-386-1000",
            "fax_number": "708-386-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-386-1000"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.