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

Northern Illinois Nephrology, SC

Organization Nephrology Physician · NPI 1295753176

Northern Illinois Nephrology, SC is a Nephrology Physician in Rockford, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1295753176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wright — President/Owner · (815) 398-9590
NPI enumeratedJuly 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1340 Charles St Ste 400, Rockford, IL 61104-2200

Other providers in Rockford