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Organization
KIDNEY HEALTH CENTER LLC
Active
Organization
KIDNEY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR DALLOUL MD (OWNER)
(847) 247-1010
Entity
Organization
Contact information
Practice address
1860 W WINCHESTER RD STE 107, LIBERTYVILLE, IL 60048-5312
(847) 247-1010
(847) 247-1011
Mailing address
1860 W WINCHESTER RD STE 107, LIBERTYVILLE, IL 60048-5312
(847) 247-1010
(847) 247-1011
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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