Organization
ADVANCED PERITONEAL DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR DALLOUL M.D. (OWNER)
(847) 247-1010
Entity
Organization
Contact information
Practice address
1880 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5321
(847) 247-1010
(847) 247-1011
Mailing address
1880 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5321
(847) 247-1010
(847) 247-1011
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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