Usrc Bolingbrook LLC

NPI #1497015390 in Bolingbrook, Illinois

Provider Information

NPI Number
1497015390
Entity Type
Organization
Organization Name
Usrc Bolingbrook LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 24, 2012
Last Updated
Oct 25, 2013

Practice Location

Address
396 REMINGTON BLVD
Address 2
STE 110
ZIP Code
60440-4302
Phone
(630) 759-1943

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED REPRESENTATIVE
Phone
(214) 736-2700

Specialties & Taxonomy Codes

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

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