KANKAKEE COUNTY DIALYSIS
NPI 1073675138
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bourbonnais, IL

Q: What is Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1073675138. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Kankakee County Dialysis.

Q: What is Renal Treatment Centers-Illinois Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Renal Treatment Centers-Illinois Inc have?

CMS rates DaVita Kankakee County Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since December 15, 2006CLIA 14D1064891 · Waiver

1/5

Overall Rating

581 WILLIAM R LATHAM SR DR STE 104, BOURBONNAIS, IL 60914(815) 936-3088(815) 936-3756 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 2, 2023, Apr 20, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Kankakee County Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANKAKEE COUNTY DIALYSIS (NPI 1073675138) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bourbonnais, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1073675138

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC

Location Address581 WILLIAM R LATHAM SR DR STE 104Bourbonnais, IL 60914-2439

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961

Phone(815) 936-3088

Fax(815) 936-3756

Organization SubpartNo

Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501

Enumeration DateDecember 15, 2006

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

NPPES CertifiedMarch 7, 2023

✔ NPI 1073675138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

581 WILLIAM R LATHAM SR DR STE 104, Bourbonnais, IL 60914

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Other Names 1

Doing Business AsKankakee County Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1064891

Kankakee County Dialysis · Bourbonnais, IL

Active · expires Feb 14, 2027

CLIA Number14D1064891

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateFebruary 15, 2025

Certificate Expiration DateFebruary 14, 2027

Laboratory DirectorNashib Hashmi

Laboratory Phone(815) 936-3088

Laboratory LocationKankakee County Dialysis581 William Latham Drive Suite 104, Bourbonnais, IL 60914

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Kankakee County Dialysis (CMS certification number 142685), from CMS Care Compare.

DaVita Kankakee County Dialysis

Dialysis facility · Bourbonnais, IL

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number142685

ESRD NetworkNetwork 10

Hemodialysis Stations16

Medicare-Certified SinceSeptember 13, 2007

Location581 WILLIAM R LATHAM SR DRIVE, STE 104Bourbonnais, IL 60914 · Kankakee County

Phone(815) 936-3088

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1073675138. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Kankakee County Dialysis.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 581 William R Latham Sr Dr Ste 104, Bourbonnais, IL 60914. The listed phone number is (815) 936-3088.

What is Renal Treatment Centers-Illinois Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Renal Treatment Centers-Illinois Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1064891) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers-Illinois Inc a Medicare-certified dialysis facility?

Yes. DaVita Kankakee County Dialysis is a Medicare-certified dialysis facility, certified since September 13, 2007.

What quality rating does Renal Treatment Centers-Illinois Inc have?

CMS rates DaVita Kankakee County Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers-Illinois Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Renal Treatment Centers-Illinois Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers-Illinois Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.