NORTH SUBURBAN NEPHROLOGY LLC
NPI 1801041645
Specialist in Gurnee, IL

Active since November 20, 2008
1425 N HUNT CLUB RD STE 301, GURNEE, IL 60031(847) 855-9252(847) 855-5215 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2022, Jan 12, 2022 (2 updates tracked since 2022).

About North Suburban Nephrology Llc NPPES

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

NORTH SUBURBAN NEPHROLOGY LLC (NPI 1801041645) is a healthcare organization registered as a specialist in Gurnee, Illinois and active in the NPI registry since November 2008. The organization lists Walid N Ghantous, Ceo Member, as its authorized official.

NPPES Registry Identity

NPI1801041645
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTH SUBURBAN NEPHROLOGY LLC
Location Address1425 N HUNT CLUB RD STE 301Gurnee, IL 60031-2639
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000
Fax(847) 855-5215
Organization SubpartNo
Authorized OfficialWalid N GhantousCeo Member · (847) 446-3200
Enumeration DateNovember 20, 2008
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1801041645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 01553437
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1425 N HUNT CLUB RD STE 301, Gurnee, IL 60031

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Suburban Nephrology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to North Suburban Nephrology LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nephrology
NPI 1508033226
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-5215
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1255775797
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9152
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1477618155
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9152
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1366551632
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9152
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720604713
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9152
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1154563724
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9152
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Suburban Nephrology LLC's NPI number?

The NPI number for North Suburban Nephrology LLC is 1801041645. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is North Suburban Nephrology LLC located?

North Suburban Nephrology LLC is located at 1425 N Hunt Club Rd Ste 301, Gurnee, IL 60031. The listed phone number is (847) 855-9252.

What is North Suburban Nephrology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is North Suburban Nephrology LLC enrolled in Medicare?

Yes. North Suburban Nephrology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Suburban Nephrology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to North Suburban Nephrology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (5) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Suburban Nephrology LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.