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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