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

Northern Illinois Nephrology

Organization Specialist · NPI 1205054533

Northern Illinois Nephrology is a Specialist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1340 Charles St Ste 400
Rockford, IL 61104-2200
Phone: (815) 398-9590
Fax: (815) 398-9591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1205054533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wright — Ceo · (815) 398-9590
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1340 Charles St, Suite 400, Rockford, IL 61104-2200

Other providers in Rockford