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WAUKEGAN RENAL CENTER
NPI 1659397859
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Waukegan, IL

Active since July 14, 2006CLIA 14D0950927 · Waiver
4/5
Overall Rating
3350 GRAND AVE STE 100, WAUKEGAN, IL 60085(847) 782-0640(847) 599-9563 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2024, Feb 5, 2024, Aug 17, 2020 and 2 more (5 updates tracked since 2018).

About Waukegan Renal Center NPPES

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

WAUKEGAN RENAL CENTER (NPI 1659397859) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Waukegan, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1659397859
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address3350 GRAND AVE STE 100Waukegan, IL 60085-2206
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(847) 782-0640
Fax(847) 599-9563
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1659397859 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
3350 GRAND AVE STE 100, Waukegan, IL 60085
Open in Google Maps ↗

Other Names 1

Doing Business AsWaukegan Renal Center

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 14D0950927

Waukegan Renal Center (d/B/A) Isd Renal Inc · Waukegan, IL
Active · expires Sep 8, 2026
CLIA Number14D0950927
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorJohn Freeland MD
Laboratory Phone(847) 782-0640
Laboratory LocationWaukegan Renal Center (d/B/A) Isd Renal Inc3350 West Grand Ave, Ste 100, Waukegan, IL 60085
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 Waukegan Home Training (CMS certification number 142567), from CMS Care Compare.

DaVita Waukegan Home Training

Dialysis facility · Waukegan, IL
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142567
ESRD NetworkNetwork 10
Medicare-Certified SinceJanuary 1, 2000
Location3350 GRAND AVE STE 101Waukegan, IL 60085 · Lake County
Phone(847) 599-6057
Services Offered
Peritoneal dialysis

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1659397859. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Waukegan Renal Center.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 3350 Grand Ave Ste 100, Waukegan, IL 60085. The listed phone number is (847) 782-0640.

What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0950927) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Waukegan Home Training is a Medicare-certified dialysis facility, certified since January 1, 2000.

What quality rating does Isd Renal Inc have?

CMS rates DaVita Waukegan Home Training 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Isd Renal Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Isd Renal 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 Isd Renal Inc was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.