Home Dialysis Services Peoria LLC

NPI #1275922890 in Peoria, Illinois

Provider Information

NPI Number
1275922890
Entity Type
Organization
Organization Name
Home Dialysis Services Peoria LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jan 20, 2015
Last Updated
Oct 1, 2018

Practice Location

Address
719 MAIN ST STE B
City
Peoria
ZIP Code
61602-1084
Phone
(309) 966-0802

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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