| NPI | 1598788994 |
|---|---|
| Other Name | CENTRAL ILLINOIS KIDNEY & DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN SKINNER Office Manager 217-726-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 042005163) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-03-16 |