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LAKE VILLA DIALYSIS
NPI 1346209590
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Villa, IL

Active since March 17, 2006CLIA 14D1037224 · Waiver
3/5
Overall Rating
37809 N IL ROUTE 59, LAKE VILLA, IL 60046(847) 245-4872(847) 245-4873 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2022, Jun 21, 2021, Jan 11, 2019 and 1 more (4 updates tracked since 2016).

About Lake Villa Dialysis NPPES

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

LAKE VILLA DIALYSIS (NPI 1346209590) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lake Villa, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1346209590
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC
Location Address37809 N IL ROUTE 59Lake Villa, IL 60046-7332
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(847) 245-4872
Fax(847) 245-4873
Organization SubpartNo
Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 17, 2006
Last NPPES UpdateOctober 10, 20224 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1346209590 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
37809 N IL ROUTE 59, Lake Villa, IL 60046
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Villa 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 14D1037224

Lake Villa Dialysis · Lake Villa, IL
Active · expires Feb 16, 2027
CLIA Number14D1037224
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorOmar Dalloul
Laboratory Phone(773) 276-2380
Laboratory LocationLake Villa Dialysis37809 N Route 59, Lake Villa, IL 60046
CLIA data matches this NPI record on: Name
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 Lake Villa Dialysis (CMS certification number 142666), from CMS Care Compare.

DaVita Lake Villa Dialysis

Dialysis facility · Lake Villa, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142666
ESRD NetworkNetwork 10
Hemodialysis Stations12
Medicare-Certified SinceJune 13, 2005
Location37809 N ILLINOIS, ROUTE 59Lake Villa, IL 60046 · Lake County
Phone(847) 245-4872
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 1346209590. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Lake Villa Dialysis.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 37809 N Il Route 59, Lake Villa, IL 60046. The listed phone number is (847) 245-4872.

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 14D1037224) is associated with this NPI, valid through February 16, 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 Lake Villa Dialysis is a Medicare-certified dialysis facility, certified since June 13, 2005.

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

CMS rates DaVita Lake Villa Dialysis 3 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 October 10, 2022. 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.