Organization
DVA RENAL HEALTHCARE, INC.
Active
Other names
Des Plaines Home Training Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O. USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
2307 S MOUNT PROSPECT RD, DES PLAINES, IL 60018-1811
(847) 768-1310
(847) 768-1319
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
N / A
IL
Other
Enumeration date
03/24/2006
Last updated
08/22/2020
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