Dialysis Centers of America - Illinois, Inc.

Primary specialty

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

Legal business name

DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.

Doing business as

RCG Central Illinois-Decatur (Home)

Practice address

302 W Hay St
Suite 207
Decatur, IL 62526-4167

Phone

(217) 876-6866

NPI assigned

Aug 20, 2006

Last updated

Jul 21, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG CENTRAL ILLINOIS-DECATUR (HOME) Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1790890549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE 207",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE 207",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167",
            "telephone_number": "217-876-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "RCG CENTRAL ILLINOIS-DECATUR (HOME)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Bernard Devleschoward Jr., M.D.
• Devoted Caregivers
• Nakeya Khozema Dewaswala, MD
• Harvinder Dhillon, MD
• Radwan H Diab, M.D.
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Decatur)
• Tania Diaz-Macken
• Cynthia B Dickerson
• Rosemary Dickson, RBT
• Todd Diebold, D.O.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Decatur, IL
• Providers in Decatur, 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 Jul 21, 2009; 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.