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Organization
KIDNEY CARE CENTER GRAYSLAKE LLC
Active
Organization
KIDNEY CARE CENTER GRAYSLAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D. (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
755 S MILWAUKEE AVE, SUITE 262, LIBERTYVILLE, IL 60048-3253
(224) 206-7253
(224) 424-4143
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
09/08/2016
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