Organization · Type 2 NPI
Renviva LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL
NPI number
1962873919
Active
Practice location
1235 N Mulford Rd
Rockford, IL 61107-3879
Fax (866) 352-4339
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 1962873919
Renviva LLC's National Provider Identifier is 1962873919, issued on Oct 16, 2015. 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 Sep 26, 2016.