KIDNEY CARE CENTER BLOOMINGTON LLC

PEORIA, IL
NPI1932514387
Entity TypeOrganization
Authorized ContactMORUFU ALAUSA
Medical Director/CEO
815-741-6830
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2014-06-24
Last Update Date2018-03-17
Business Address
KIDNEY CARE CENTER BLOOMINGTON LLC
719 MAIN ST
PEORIA, IL 61602-1083
Phone number: 309-839-8364
Mailing Address
KIDNEY CARE CENTER BLOOMINGTON LLC
PO BOX 3877
JOLIET, IL 60434-3877
Phone number: 815-741-6830
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