Aledo Kidney Center, LLC

NPI #1922007046 in Aledo, Illinois

Provider Information

NPI Number: 1922007046
Entity Type: Organization
Organization Name: Aledo Kidney Center, LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 20, 2005
Last Updated: Aug 29, 2014

Practice Location

Address: 409 NW 9TH AVE
City: Aledo
State: Illinois
ZIP Code: 61231-1258
Phone: (309) 582-2227

Authorized Official

Name: DR. RAJESH ALLA, M.D.
Title: MEDICAL DIRECTOR
Phone: (309) 762-5570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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