Organization Active NPI

Renalcare Associates, S.C.

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1649300377
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
042003556 Issued in IL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CA301OtherILRAILROAD MEDICARE

Other names 1

  • Illinois Kidney Disease and Hypertension Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040119000524 IL Part B Supplier - Clinic/Group Practice 7012818347 Receives reassigned benefits from 49 practitioners
Practice locations: Normal, IL; Ottawa, IL; Pekin, IL; Peoria, IL; Peru, IL; Pontiac, IL; Princeton, IL; Rock Island, IL…
O20210222002129 IA Part B Supplier - Clinic/Group Practice 7012818347 Receives reassigned benefits from 9 practitioners
Practice locations: Bettendorf, IA; Davenport, IA; Muscatine, IA

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
14D0431219Renalcare Associates S C834 N Seminary St - Ste 501, Galesburg, IL 61401Provider-performed microscopyMar 13, 2028
14D0913964Renalcare Associates SC1302 Franklin Ave - Ste 3000, Normal, IL 61761Provider-performed microscopyApr 16, 2028
14D1072143Renalcare Associates S C420 NE Glen Oak Ave, Suite 401, Peoria, IL 61603Provider-performed microscopyAug 8, 2027
14D2050560Renalcare Associates S C600 S 13TH St - Ste K, Pekin, IL 61554Provider-performed microscopyNov 29, 2026
14D2052401Renalcare Associates S C1000 W Harlem Ave, Monmouth, IL 61462Provider-performed microscopyJan 8, 2027
14D2087619Renalcare Associates SC1050 E Norris Dr, #2B, Ottawa, IL 61350Provider-performed microscopyNov 30, 2026
14D2313470Renalcare Associates, SC200 Professional Plaza - Ste 200, Mattoon, IL 61938Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

View all 52

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",
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            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Grant St 2nd floor",
            "address_purpose": "LOCATION",
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            "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",
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        },
        {
            "address_1": "1514 Mulberry Ave Ste 302",
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            "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.

Verify at the official NPI Registry.