Organization
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Active
Other names
RCG CENTRAL ILLINOIS-BLOOMINGTON
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
1505 EASTLAND MEDICAL PLAZA, LOWER LEVEL, BLOOMINGTON, IL 61701
(309) 663-7165
Mailing address
1505 EASTLAND MEDICAL PLAZA, LOWER LEVEL, BLOOMINGTON, IL 61701
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up