Organization
NORTHERN ILLINOIS NEPHROLOGY, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L WRIGHT MD (PRESIDENT/OWNER)
(815) 398-9590
Entity
Organization
Contact information
Practice address
1340 CHARLES ST STE 400, ROCKFORD, IL 61104-2200
(815) 398-9590
Mailing address
1340 CHARLES ST STE 400, ROCKFORD, IL 61104-2200
(815) 398-9590
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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