Cowesett Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Romeoville, IL. Organization (NPI-2).
NPI number1124587019
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1124587019
- Entity type
- Organization (NPI-2)
- Legal business name
- Cowesett Dialysis LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Aug 27, 2025
- Last updated
- Aug 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Joliet Home Dialysis (Doing Business As)
Practice location
368 S Weber RdRomeoville, IL 60446-6521
Phone 815-254-6657 · Fax 815-254-6648
Mailing address
5200 Virginia WayL&C Department
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp, Licensure & Certification
6153416641
Is something wrong?
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