Organization
KIDNEY CARE CENTER SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNJI MORUFU ALAUSA M.D. (OWNER)
(815) 741-6830
Entity
Organization
Contact information
Practice address
10508 S ROBERTS RD, PALOS HILLS, IL 60465-1934
(708) 608-8122
(708) 827-5419
Mailing address
PO BOX 3134, JOLIET, IL 60434-3134
(815) 741-6830
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
11/16/2015
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