HOME DIALYSIS OF ILLINOIS LLC
NPI 1881304566
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Northbrook, IL

Active since December 02, 2022
4141 DUNDEE RD, NORTHBROOK, IL 60062(224) 292-5411 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2023, Dec 2, 2022 (2 updates tracked since 2022).

About Home Dialysis Of Illinois Llc NPPES

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

HOME DIALYSIS OF ILLINOIS LLC (NPI 1881304566) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Northbrook, Illinois and active in the NPI registry since December 2022. The organization lists Yan Katsnelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881304566
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHOME DIALYSIS OF ILLINOIS LLC
Location Address4141 DUNDEE RDNorthbrook, IL 60062-2129
Mailing AddressPo Box 451Northbrook, IL 60065-0451
Organization SubpartNo
Authorized OfficialYan KatsnelsonCeo · (847) 593-8460
Enumeration DateDecember 2, 2022
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1881304566 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
4141 DUNDEE RD, Northbrook, IL 60062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Dialysis Of Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Home Dialysis Of Illinois LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1083689079
1425 N HUNT CLUB RD STE 301
Gurnee, IL 60031
(847) 855-9252
✔ PECOS✔ Accepts Medicare17 mi

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 Home Dialysis Of Illinois LLC's NPI number?

The NPI number for Home Dialysis Of Illinois LLC is 1881304566. It was assigned to this organization in the NPPES registry on December 2, 2022.

Where is Home Dialysis Of Illinois LLC located?

Home Dialysis Of Illinois LLC is located at 4141 Dundee Rd, Northbrook, IL 60062. The listed phone number is (224) 292-5411.

What is Home Dialysis Of Illinois 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.

Is Home Dialysis Of Illinois LLC enrolled in Medicare?

Yes. Home Dialysis Of Illinois LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home Dialysis Of Illinois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Home Dialysis Of Illinois 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Home Dialysis Of Illinois LLC was last updated on March 30, 2023. 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.