Usrc Vp Home, LLC

NPI #1649675950 in Villa Park, Illinois

Provider Information

NPI Number
1649675950
Entity Type
Organization
Organization Name
Usrc Vp Home, 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
Oct 29, 2014
Last Updated
Oct 16, 2015

Practice Location

Address
202 E NORTH AVE
ZIP Code
60181-1221
Phone
(630) 415-3458

Authorized Official

Name
THOMAS L WEIBERG
Title
MANAGER - AUTHORIZED OFFICIAL
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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Provider Name
Usrc Villa Park, LLC

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