Dialysis Centers of America - Illinois, Inc.

NPI #1467568394 in Bloomington, Illinois

Provider Information

NPI Number
1467568394
Entity Type
Organization
Organization Name
Dialysis Centers of America - Illinois, Inc.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 22, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1505 EASTLAND MEDICAL PLAZA
Address 2
LOWER LEVEL
ZIP Code
61701
Phone
(309) 663-7165

Authorized Official

Name
MARK FAWCETT
Title
TREASURER
Phone
(781) 402-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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