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Organization
ADVANCED RENAL CARE LTD
Active
Organization
ADVANCED RENAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS A RAUF DO (OWNER PHYSICIAN)
(630) 495-9356
Entity
Organization
Contact information
Practice address
2340 S HIGHLAND AVE, SUITE 160, LOMBARD, IL 60148-5371
(630) 495-9356
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036109596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001637001
BCBS OF ILLINOIS
IL
Enumeration date
03/23/2007
Last updated
09/16/2008
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