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AXOLOTL, LLC
NPI 1609136019
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Harrisburg, IL

Active since May 18, 2012
130 E CLARK ST, HARRISBURG, IL 62946(618) 922-9952 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Axolotl, Llc NPPES

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

AXOLOTL, LLC (NPI 1609136019) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Harrisburg, Illinois and active in the NPI registry since May 2012. The organization lists Kevin Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1609136019
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameAXOLOTL, LLC
Location Address130 E CLARK STHarrisburg, IL 62946-2700
Mailing Address1507 Gleneagle DrMarion, IL 62959-5231
Phone(618) 922-9952
Organization SubpartNo
Authorized OfficialKevin ChenOwner · (618) 922-9952
Enumeration DateMay 18, 2012
✔ NPI 1609136019 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
130 E CLARK ST, Harrisburg, IL 62946
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROGER K. LYONS D.MIN., L.C.P.C.
Counselor (Professional)
130 E CLARK ST, SPECIALISTS CLINIC
HARRISBURG, IL 62946
Saline County (618) 252-1722

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 Axolotl, LLC's NPI number?

The NPI number for Axolotl, LLC is 1609136019. It was assigned to this organization in the NPPES registry on May 18, 2012.

Where is Axolotl, LLC located?

Axolotl, LLC is located at 130 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 922-9952.

What is Axolotl, 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 Axolotl, LLC was last updated on May 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.