KIDNEY CARE SERVICES OF SOUTHERN ILLINOIS, LTD
NPI 1669501912
Clinic/Center - Medical Specialty in Du Quoin, IL

Q: What is Kidney Care Services Of Southern Illinois, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since March 05, 2007

900 N WASHINGTON ST, DU QUOIN, IL 62832(618) 542-3048(618) 542-3097 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kidney Care Services Of Southern Illinois, Ltd NPPES

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

KIDNEY CARE SERVICES OF SOUTHERN ILLINOIS, LTD (NPI 1669501912) is a healthcare organization registered as a medical specialty in Du Quoin, Illinois and active in the NPI registry since March 2007. The organization lists Mohammad S Shafi, Owner, as its authorized official.

NPPES Registry Identity

NPI1669501912

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameKIDNEY CARE SERVICES OF SOUTHERN ILLINOIS, LTD

Location Address900 N WASHINGTON STDu Quoin, IL 62832-1230

Mailing AddressPo Box 181Du Quoin, IL 62832-0181 · (618) 542-3048 · Fax (618) 542-3097

Phone(618) 542-3048

Fax(618) 542-3097

Organization SubpartNo

Authorized OfficialMohammad S ShafiOwner · (618) 542-3048

Enumeration DateMarch 5, 2007

Last NPPES UpdateAugust 12, 2008

✔ NPI 1669501912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in IL · 036102569

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

900 N WASHINGTON ST, Du Quoin, IL 62832

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Other Identifiers 3

Medicare UPING70351IL

Medicare ID-Type Unspecified213020IL · Provider Number

Medicaid036102569IL

Other Providers at the Same Location NPPES 19

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

DR. SAEED ZAMIR M.D.

Internal Medicine (Gastroenterology)