Organization Active NPI

Ara-Crystal Lake Dialysis LLC

Doing business as Crystal Lake Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1184660052
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARA-CRYSTAL LAKE DIALYSIS LLC
Doing business as
Crystal Lake Dialysis Center
Practice address
6298 Northwest Hwy
Suite 300
Crystal Lake, IL 60014-7933
Phone
(815) 477-0825
Fax
(815) 477-0827
NPI assigned
Jun 21, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

6298 Northwest Hwy
Suite 300
Crystal Lake, IL 60014-7933

Mailing address

6298 Northwest Hwy Ste 300
Crystal Lake, IL 60014-7933
Phone (815) 477-0825

Other names 1

  • Crystal Lake Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000530 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 8123077070 Practice locations: Crystal Lake, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Ara - Crystal Lake Dialysis CenterCCN 142664
Overall star rating
3.0 of 5
Ownership
Profit
Certified
May 16, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1039145Crystal Lake Dialysis Center6298 Northwest Highway, Suite 300, Crystal Lake, IL 60014Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1184660052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 NORTHWEST HWY STE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147933",
            "telephone_number": "815-477-0825",
            "fax_number": "815-477-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 NORTHWEST HWY",
            "address_2": "SUITE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147933",
            "telephone_number": "815-477-0825",
            "fax_number": "815-477-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-CRYSTAL LAKE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lake Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.