Organization · Type 2 NPI

Usrc VP Home, LLC

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

NPI number 1649675950 Active

Practice location

202 E North Ave
Villa Park, IL 60181-1221

Call (630) 415-3458 Map

Fax (630) 415-3463

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: 1649675950
Entity type: Organization (Type 2)
Issued: Oct 29, 2014
Last updated: Oct 16, 2015
Status: Active
Subpart: Yes of U S Renal Care Inc

Other names

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U S Renal Care Villa Park Home Dialysis Program · doing business as

Authorized official

Thomas L Weiberg
Manager - Authorized Official
(214) 736-2700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649675950

Usrc VP Home, LLC's National Provider Identifier is 1649675950, issued on Oct 29, 2014. 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 Oct 16, 2015.