| NPI | 1649300377 |
|---|---|
| Other Name | ILLINOIS KIDNEY DISEASE AND HYPERTENSION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE EYMAN Administrative Assistant 309-624-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 042003556) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 042003556) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-08-27 |