Organization
USRC VILLA PARK, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Villa Park Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED REPRESENTATIVE)
(214) 736-2700
Entity
Organization
Contact information
Practice address
200 E NORTH AVE, VILLA PARK, IL 60181-1221
(630) 530-5237
(630) 530-5242
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511682658001
—
IL
Enumeration date
10/09/2012
Last updated
02/06/2014
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