Kidney Care Services of Southern Illinois, Ltd

NPI #1669501912 in Du Quoin, Illinois

Provider Information

NPI Number
1669501912
Entity Type
Organization
Organization Name
Kidney Care Services of Southern Illinois, Ltd
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Mar 5, 2007
Last Updated
Aug 12, 2008

Practice Location

Address
900 N WASHINGTON ST
ZIP Code
62832-1230
Phone
(618) 542-3048

Authorized Official

Name
DR. MOHAMMAD S SHAFI, MC
Title
OWNER
Phone
(618) 542-3048

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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