Active NPI
Renalcare Associates, S.C.
- Nephrology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 042003556
- Legal business name
- RENALCARE ASSOCIATES, S.C.
- Practice address
- 420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Mar 6, 2007
- Last updated
- Jun 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Eyman
- Title
- Administrative Assistant
- Phone
- (309) 624-9259
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Nephrology Physician | 207RN0300X | 042003556 | IL | Primary |
| Surgery Physician | 208600000X | 042003556 | IL |
Addresses
Primary practice location
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Mailing address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123
Other practice location 1
525 E Grant St 2nd floor
Macomb, IL 61455-3351
Phone (309) 676-8123
Other practice location 2
101 W 2nd St
Dixon, IL 61021-3030
Phone (309) 517-3036
Other practice location 3
1514 Mulberry Ave Ste 302
Muscatine, IA 52761-3433
Phone (309) 571-3036
Other practice location 4
1104 W Evergreen Ave
Effingham, IL 62401-1710
Phone (309) 676-8123
Other practice location 5
2623 17th St
Rock Island, IL 61201-5345
Phone (309) 517-3036
Other practice location 6
880 Crosstown Ave
Silvis, IL 61282-1621
Phone (309) 517-3036
Other practice location 7
4480 Utica Ridge Rd Ste 1130
Bettendorf, IA 52722-1644
Phone (309) 517-3036
Other practice location 8
200 Professional Plz
Mattoon, IL 61938-9280
Phone (309) 676-8123
Other practice location 9
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (309) 676-8123
Other practice location 10
600 S 13th St Ste K
Pekin, IL 61554-4936
Phone (309) 676-8123
Other practice location 11
1302 Franklin Ave Ste 3000
Normal, IL 61761-6522
Phone (309) 663-4766
Other practice location 12
180 S Main Ste, Ste 2i
Canton, IL 61520
Phone (309) 676-8123
Other practice location 13
834 N Seminary St Ste 501
Galesburg, IL 61401-0501
Phone (309) 343-4114
Other practice location 14
1051 W South St
Kewanee, IL 61443-8354
Phone (309) 676-8123
Other practice location 15
400 John Deere Rd Bldg 2
Moline, IL 61265-6898
Phone (309) 517-3036
Other practice location 16
1401 E 12th St
Mendota, IL 61342-9216
Phone (309) 676-8123
Other practice location 17
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 676-8123
Other practice location 18
1050 E Norris Dr Ste 2B
Ottawa, IL 61350-1611
Phone (815) 431-0785
Other practice location 19
530 Park Ave E Ste 403
Princeton, IL 61356-3901
Phone (309) 676-8123
Other practice location 20
920 West St Ste 212
Peru, IL 61354-2769
Phone (309) 676-8123
Other practice location 21
5401 N Knoxville Ave Ste 300
Peoria, IL 61614-5021
Phone (309) 676-8123
Other practice location 22
702 S Rittenhouse Dr
Pontiac, IL 61764-3630
Phone (309) 676-8123
Other practice location 23
430 Maxine Dr
Morton, IL 61550-2495
Phone (309) 266-7600
Other practice location 24
120 W Locust St
Davenport, IA 52803-2826
Phone (309) 517-3036
Other practice location 25
600 N College Ave Ste 220
Geneseo, IL 61254-1092
Phone (309) 517-3036
Other practice location 26
1762 Washington Rd
Washington, IL 61571-2181
Phone (309) 676-8123
Other practice location 27
1400 W Park St
Urbana, IL 61801-2334
Phone (309) 676-8123
Other practice location 28
311 Parham St
Muscatine, IA 52761-2604
Phone (309) 517-3036
Other practice location 29
4480 Utica Ridge Rd Ste 2222
Bettendorf, IA 52722-1644
Phone (309) 517-3039
Other practice location 30
400 John Deere Rd Bldg 1
Moline, IL 61265-6898
Phone (309) 517-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA301 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Illinois Kidney Disease and Hypertension Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0431219 | Renalcare Associates S C | Provider-performed microscopy | Mar 13, 2028 |
| 14D0913964 | Renalcare Associates SC | Provider-performed microscopy | Apr 16, 2028 |
| 14D1072143 | Renalcare Associates S C | Provider-performed microscopy | Aug 8, 2027 |
| 14D2050560 | Renalcare Associates S C | Provider-performed microscopy | Nov 29, 2026 |
| 14D2052401 | Renalcare Associates S C | Provider-performed microscopy | Jan 8, 2027 |
| 14D2087619 | Renalcare Associates SC | Provider-performed microscopy | Nov 30, 2026 |
| 14D2313470 | Renalcare Associates, SC | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Morton, IL
- NPI 1639242506
Member Of
Locations
1514 Mulberry Ave
Ste 302
Muscatine, IA 52761
Phone (309) 571-3036
311 Parham St
Muscatine, IA 52761
Phone (309) 762-5570
1505 Eastland Dr
Lowr Lvl
Bloomington, IL 61701
Phone (309) 663-7165
180 S Main St
Ste 2I
Canton, IL 61520
230 W South St
Kewanee, IL 61443
Phone (309) 854-0917
511 Pine St
Kewanee, IL 61443
Phone (309) 854-0917
505 E Grant St
Ste 1
Macomb, IL 61455
505 E Grant St
Ste 107
Macomb, IL 61455
Phone (309) 837-9985
505 E Grant St
Ste 201
Macomb, IL 61455
Phone (309) 833-3068
525 E Grant St
Fl 2
Macomb, IL 61455
527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546
200 Professional Plz
Ste 200
Mattoon, IL 61938
1000 E Norris Dr
Ottawa, IL 61350
Phone (815) 431-5575
1021 Court St
Ste A
Pekin, IL 61554
Phone (309) 478-1000
3521 Veterans Dr
#4316
Pekin, IL 61554
Phone (309) 347-0052
600 S 13th St
Ste 3
Pekin, IL 61554
Phone (309) 347-1212
200 E Pennsylvania Ave
Ste 212
Peoria, IL 61603
Phone (309) 624-9259
515 NE Glen Oak Ave
Ste 108
Peoria, IL 61603
925 West St
Ste 212
Peru, IL 61354
530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610
12 Wolfer Industrial Park
Spring Valley, IL 61362
Phone (815) 664-4585
205 S Park St
Streator, IL 61364
Phone (815) 672-2829
2356 N Bloomington St
Streator, IL 61364
Phone (815) 673-2200
1762 Washington Rd
Washington, IL 61571
Phone (309) 444-3207
Practitioners & affiliated clinicians
Practitioners 52
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Transplant Surgery Physician
- Maywood, IL
- NPI 1942846316
-
- Nephrology Physician
- Peoria, IL
- NPI 1124152707
-
- Nephrology Physician
- Normal, IL
- NPI 1043340367
-
- Nephrology Physician
- Mattoon, IL
- NPI 1215311683
-
- Nephrology Physician
- Peoria, IL
- NPI 1629126222
-
- Nurse Practitioner
- Peoria, IL
- NPI 1962994707
-
- Nephrology Physician
- Peoria, IL
- NPI 1508090234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1649300377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033112",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033112",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "525 E Grant St 2nd floor",
"address_purpose": "LOCATION",
"city": "Macomb",
"state": "IL",
"postal_code": "614553351",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 2nd St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610213030",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1514 Mulberry Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Muscatine",
"state": "IA",
"postal_code": "527613433",
"country_code": "US",
"telephone_number": "309-571-3036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1104 W Evergreen Ave",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624011710",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2623 17th St",
"address_purpose": "LOCATION",
"city": "Rock Island",
"state": "IL",
"postal_code": "612015345",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 Crosstown Ave",
"address_purpose": "LOCATION",
"city": "Silvis",
"state": "IL",
"postal_code": "612821621",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4480 Utica Ridge Rd Ste 1130",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527221644",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Professional Plz",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619389280",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S 13th St Ste K",
"address_purpose": "LOCATION",
"city": "Pekin",
"state": "IL",
"postal_code": "615544936",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1302 Franklin Ave Ste 3000",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617616522",
"country_code": "US",
"telephone_number": "309-663-4766",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 S Main Ste, Ste 2i",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "IL",
"postal_code": "61520",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 N Seminary St Ste 501",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614010501",
"country_code": "US",
"telephone_number": "309-343-4114",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1051 W South St",
"address_purpose": "LOCATION",
"city": "Kewanee",
"state": "IL",
"postal_code": "614438354",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 John Deere Rd Bldg 2",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612656898",
"country_code": "US",
"telephone_number": "309-517-3036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 E 12th St",
"address_purpose": "LOCATION",
"city": "Mendota",
"state": "IL",
"postal_code": "613429216",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W Harlem Ave",
"address_purpose": "LOCATION",
"city": "Monmouth",
"state": "IL",
"postal_code": "614621007",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 E Norris Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Ottawa",
"state": "IL",
"postal_code": "613501611",
"country_code": "US",
"telephone_number": "815-431-0785",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 Park Ave E Ste 403",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "613563901",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 West St Ste 212",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IL",
"postal_code": "613542769",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5401 N Knoxville Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616145021",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 S Rittenhouse Dr",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "IL",
"postal_code": "617643630",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 Maxine Dr",
"address_purpose": "LOCATION",
"city": "Morton",
"state": "IL",
"postal_code": "615502495",
"country_code": "US",
"telephone_number": "309-266-7600",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 W Locust St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528032826",
"country_code": "US",
"telephone_number": "309-517-3036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 N College Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "IL",
"postal_code": "612541092",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1762 Washington Rd",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "IL",
"postal_code": "615712181",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012334",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 Parham St",
"address_purpose": "LOCATION",
"city": "Muscatine",
"state": "IA",
"postal_code": "527612604",
"country_code": "US",
"telephone_number": "309-517-3036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4480 Utica Ridge Rd Ste 2222",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527221644",
"country_code": "US",
"telephone_number": "309-517-3039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 John Deere Rd Bldg 1",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612656898",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RENALCARE ASSOCIATES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "EYMAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "309-624-9259"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "042003556",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "042003556",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA301",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Illinois Kidney Disease and Hypertension Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.