Organization · Type 2 NPI

Usrc Villa Park, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Villa Park, IL

NPI number 1093067415 Active

Practice location

200 E North Ave
Villa Park, IL 60181-1221

Call (630) 530-5237 Map

Fax (630) 530-5242

Mailing address

PO Box 19119
Jonesboro, AR 72403-6601

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1093067415
Entity type: Organization (Type 2)
Issued: Oct 9, 2012
Last updated: Feb 6, 2014
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care Villa Park Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Representative
(214) 736-2700

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About NPI 1093067415

Usrc Villa Park, LLC's National Provider Identifier is 1093067415, issued on Oct 9, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Villa Park, IL. The record was last updated on Feb 6, 2014.