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Organization

KIDNEY HEALTH CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHSAN USMAN MD (CEO)
(309) 642-6705
Entity
Organization

Contact information

Practice address
19 OLT AVE, PEKIN, IL 61554-6214
(309) 642-6705
(309) 347-2623
Mailing address
19 OLT AVE, PEKIN, IL 61554-6214
(309) 642-6705
(309) 347-2623

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-121212
IL

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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