Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kidney Care Services of Southern Illinois, Ltd

Organization Medical Specialty Clinic/Center · NPI 1669501912

Kidney Care Services of Southern Illinois, Ltd is a Medical Specialty Clinic/Center in Du Quoin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 N Washington St
Du Quoin, IL 62832-1230
Phone: (618) 542-3048
Fax: (618) 542-3097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 036102569 (IL)

Record details

NPI number1669501912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Shafi — Owner · (618) 542-3048
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 12, 2008
Mailing addressPo Box 181, Du Quoin, IL 62832-0181