Organization · Type 2 NPI
Dialysis Centers of America - Illinois, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL
NPI number
1154436905
Active
Practice location
1302 E. State Street
Rockford, IL 61112-1061
Fax (815) 968-8669
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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About NPI 1154436905
Dialysis Centers of America - Illinois, Inc.'s National Provider Identifier is 1154436905, issued on Aug 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Rockford, IL. The record was last updated on Nov 17, 2009.