D/B/A MACOMB DIALYSIS
NPI 1205052735
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Macomb, IL

Active since April 17, 2007
523 E GRANT ST, MACOMB, IL 61455(309) 836-1662(309) 836-1661 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About D/b/a Macomb Dialysis NPPES

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

D/B/A MACOMB DIALYSIS (NPI 1205052735) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Macomb, Illinois and active in the NPI registry since April 2007. The organization lists Robert T. Sparrow, President, as its authorized official.

NPPES Registry Identity

NPI1205052735
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMMB DIALYSIS, LLC
Location Address523 E GRANT STMacomb, IL 61455-3313
Mailing Address200 E. Pennsylvania Ave., Suite 212Peora, IL 61603 · (309) 676-8123 · Fax (309) 676-8455
Fax(309) 836-1661
Organization SubpartYesParent: Midwest Kidney Centers
Authorized OfficialRobert T. SparrowPresident · (309) 676-8123
Enumeration DateApril 17, 2007
Last NPPES UpdateSeptember 3, 2008
NPI 1205052735 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
523 E GRANT ST, Macomb, IL 61455

Other Names 1

Doing Business AsD/b/a Macomb Dialysis

Other Identifiers 2

Medicaid=========001IL
Medicare UPIN142591

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 Mmb Dialysis, LLC's NPI number?

The NPI number for Mmb Dialysis, LLC is 1205052735. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as D/B/A Macomb Dialysis.

Where is Mmb Dialysis, LLC located?

Mmb Dialysis, LLC is located at 523 E Grant St, Macomb, IL 61455. The listed phone number is (309) 836-1662.

What is Mmb Dialysis, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mmb Dialysis, LLC was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.