Organization · Type 2 NPI

Kidney Care Services of Southern Illinois, Ltd

Medical Specialty Clinic/Center · Du Quoin, IL

NPI number 1669501912 Active

Practice location

900 N Washington St
Du Quoin, IL 62832-1230

Call (618) 542-3048 Map

Fax (618) 542-3097

Mailing address

PO Box 181
Du Quoin, IL 62832-0181

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X036102569 (IL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

19 other providers at this address

About NPI 1669501912

Kidney Care Services of Southern Illinois, Ltd's National Provider Identifier is 1669501912, issued on Mar 5, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Du Quoin, IL. The record was last updated on Aug 12, 2008.