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-BLOOMINGTON CAPD

Practice address

1404 Eastland Dr
Unit 103
Bloomington, IL 61701-3532

Phone

(309) 664-2284

Fax

(309) 661-0797

NPI assigned

Aug 20, 2006

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 R. Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD 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": "1317686400000",
    "number": "1972618726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "UNIT 103",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-664-2284",
            "fax_number": "309-661-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "UNIT 103",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-664-2284",
            "fax_number": "309-661-0797"
        }
    ],
    "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": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shweta Dey
• Rubina Dhillon
• Diagnostic Neuro Technology, LLC
• Melinda Sue Dial, FNP
• Dialysis Centers of America - Illinois, Inc.
• Herman Justis Dick Jr., M.D.
• Chad Dickey
• Mazzy J Dicriscio
• Debra Dietrich, PSYCHOLOGIST
• Sara E Dietz

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bloomington, IL
• Providers in Bloomington, 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 Oct 4, 2011; 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.