ILLINOIS KIDNEY CARE PLLC
NPI 1154984755
Internal Medicine - Nephrology in Chicago, IL
About Illinois Kidney Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILLINOIS KIDNEY CARE PLLC (NPI 1154984755) is a healthcare organization registered as a nephrology in Chicago, Illinois and active in the NPI registry since April 2019. The organization lists Daniel Roseman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Illinois Kidney Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Illinois Kidney Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Illinois Kidney Care PLLC's NPI number?
The NPI number for Illinois Kidney Care PLLC is 1154984755. It was assigned to this organization in the NPPES registry on April 18, 2019.
Where is Illinois Kidney Care PLLC located?
Illinois Kidney Care PLLC is located at 3023 N Clark St #302, Chicago, IL 60657. The listed phone number is (312) 767-7811.
What is Illinois Kidney Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Illinois Kidney Care PLLC enrolled in Medicare?
Yes. Illinois Kidney Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Illinois Kidney Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Illinois Kidney Care PLLC, in Nephrology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Illinois Kidney Care PLLC was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Illinois Kidney Care Pllc · NPI 1154984755
Nephrology organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1154984755 (Entity type: Organization)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Daniel Roseman, MANAGER
## Practice location
- **Address:** 3023 N CLARK ST #302, Chicago, IL 60657
- **Phone:** (312) 767-7811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1154984755) · Data from the CMS NPPES public registry.