Organization
KIDNEY CARE CENTER NORTH CHICAGO 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
2038 W 95TH ST, CHICAGO, IL 60643-1116
(708) 598-2448
(708) 941-6814
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Enumeration date
10/21/2015
Last updated
11/06/2015
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