Organization
EXCELLENCE IN RENAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCDONALD (CREDENTIALING)
(219) 769-1670
Entity
Organization
Contact information
Practice address
1723 AMEN CORNER CT, CHESTERTON, IN 46304-3466
(219) 462-6001
Mailing address
1723 AMEN CORNER CT, CHESTERTON, IN 46304-3466
(219) 462-6001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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