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Organization

SEASONS DIALYSIS LLC

Active
Other names
Crystal Springs Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 280-9501
Entity
Organization

Contact information

Practice address
720 COG CIR, CRYSTAL LAKE, IL 60014-7301
(815) 459-4945
(815) 459-4836
Mailing address
5200 VIRGINIA WAY, LICENSURE AND CERTIFICATION, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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