Dva Renal Healthcare INC
NPI #1316916513 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1316916513
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 17, 2006
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 1515 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1150
- Phone
- (217) 243-3042
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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