Organization
KIDNEY CARE CENTER OF NORTHERN ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D. (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
95 N 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 741-6830
(815) 741-6832
Mailing address
95 N 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02551047
IL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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