Central Illinois Kidney & Dialysis Associates, Sc
NPI #1598788994 in Springfield, Illinois
Provider Information
- NPI Number
- 1598788994
- Entity Type
- Organization
- Organization Name
- Central Illinois Kidney & Dialysis Associates, Sc
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Mar 16, 2011
Practice Location
- Address
- 3401 CONIFER DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-8300
- Phone
- (217) 726-0967
Authorized Official
- Name
- MRS. STEPHANIE ANN SKINNER
- Title
- OFFICE MANAGER
- Phone
- (217) 726-0967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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