Organization · Type 2 NPI
Dialysis Centers of America - Illinois, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bloomington, IL
NPI number
1467568394
Active
Practice location
1505 Eastland Medical Plaza, Lower Level
Bloomington, IL 61701
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 1467568394
Dialysis Centers of America - Illinois, Inc.'s National Provider Identifier is 1467568394, issued on Aug 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bloomington, IL. The record was last updated on Aug 22, 2020.