Dialysis Centers of America - Illinois, Inc.

NPI #1972618726 in Bloomington, Illinois

Provider Information

NPI Number
1972618726
Entity Type
Organization
Organization Name
Dialysis Centers of America - Illinois, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 20, 2006
Last Updated
Oct 4, 2011

Practice Location

Address
1404 EASTLAND DR
Address 2
UNIT 103
ZIP Code
61701-3532
Phone
(309) 664-2284

Authorized Official

Name
MARK R. FAWCETT
Title
TREASURER
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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