Organization
2HT KIDNEY CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARITOSH TIWARI MD (PARTNER)
(815) 937-4880
Entity
Organization
Contact information
Practice address
20 HERITAGE DR, BOURBONNAIS, IL 60914-2701
(815) 937-4880
Mailing address
20 HERITAGE DR, BOURBONNAIS, IL 60914-2701
(815) 937-4880
(978) 327-7839
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085017
—
IL
Enumeration date
07/31/2017
Last updated
06/11/2019
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