Organization
KIDNEY SPECIALISTS OF KANKAKEE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL HIZON M.D (PRESIDENT)
(815) 933-4422
Entity
Organization
Contact information
Practice address
455 W COURT ST STE 304, KANKAKEE, IL 60901-3694
(815) 933-4422
(815) 933-4446
Mailing address
455 W COURT ST STE 304, KANKAKEE, IL 60901-3694
(815) 933-4422
(815) 933-4446
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
11/15/2007
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