Isd Schaumburg LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ISD SCHAUMBURG LLC

Practice address

1156 S Roselle Rd
Schaumburg, IL 60193

Phone

(847) 524-4310

Fax

(847) 524-4311

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Schaumburg Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

DaVita Schaumburg Renal CenterCCN 142654

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Oct 15, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

22

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Centers of America - Illinois, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1700991551

  Member Of

  NPD member
• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Akron, OH
  • NPI 1407992555

  Member Of

  NPD member

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sejal Patel

  • Nephrology Physician
  • Hoffman Estates, IL
  • NPI 1396785291

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammed Shakaib, M.D.

  • Nephrology Physician
  • Hoffman Estates, IL
  • NPI 1609814128

  Dialysis facility

  Care Compare affiliation Name & address match
• Grady M. Wick, M.D.

  • Nephrology Physician
  • Elk Grove Village, IL
  • NPI 1659575108

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1184640237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60193",
            "telephone_number": "847-524-4310",
            "fax_number": "847-524-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD SCHAUMBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaumburg Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schaumburg Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Iqra Iqbal
• Lisa Irgang, PSY.D.
• Jerick Islan, PTA
• Rachel Isom, MSW, LSW, LCSW
• Nour Issa, DMD
• Renata Izewski, LAC BS NUTR
• Richard Slavomir Izewski, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.