Organization
HOME DIALYSIS SERVICES BLOOMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D. (MEDICAL DIRECTOR/CEO)
(815) 741-6830
Entity
Organization
Contact information
Practice address
3901 GENERAL ELECTRIC RD STE 1, BLOOMINGTON, IL 61704-4195
(309) 808-1226
(309) 808-4352
Mailing address
PO BOX 3134, JOLIET, IL 60434-3134
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
10/01/2018
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