Dva Healthcare Renal Care, Inc.
NPI #1013986389 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1013986389
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care, Inc.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 821 LINCOLN HWY
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2216
- Phone
- (618) 632-9550
Authorized Official
- Name
- THOMAS O USILTON JR.
- Title
- GROUP VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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