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Organization
WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR
Active
Organization
WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETER FREELAND MD (NEPHROLOGY PHYSICIAN & INTERNAL MED)
(847) 623-0032
Entity
Organization
Contact information
Practice address
1616 GRAND AVE, STE A, WAUKEGAN, IL 60085
(847) 623-0032
(847) 623-0505
Mailing address
1616 GRAND AVE, STE A, WAUKEGAN, IL 60085
(847) 623-0032
(847) 623-0505
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049794
—
IL
Enumeration date
01/23/2006
Last updated
06/09/2010
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