Home Dialysis Services Bloomington LLC
NPI #1104231554 in Bloomington, Illinois
Provider Information
- NPI Number
- 1104231554
- Entity Type
- Organization
- Organization Name
- Home Dialysis Services Bloomington LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Oct 1, 2018
Practice Location
- Address
- 3901 GENERAL ELECTRIC RD STE 1
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4195
- Phone
- (309) 808-1226
Authorized Official
- Name
- DR. MORUFU ALAUSA, M.D.
- Title
- MEDICAL DIRECTOR/CEO
- Phone
- (815) 741-6830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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