Home Dialysis Services Rockford LLC

NPI #1922410125 in Rockford, Illinois

Provider Information

NPI Number: 1922410125
Entity Type: Organization
Organization Name: Home Dialysis Services Rockford LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 22, 2014
Last Updated: Oct 11, 2021

Practice Location

Address: 2990 N PERRYVILLE RD STE 3100A
City: Rockford
State: Illinois
ZIP Code: 61107-6814
Phone: (779) 774-9272

Authorized Official

Name: DR. MORUFU ALAUSA, MD
Title: MEDICAL DIRECTOR/CEO
Phone: (815) 741-6830

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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