Organization
KIDNEY CARE CENTER ELGIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA MD (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
442 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(224) 238-3211
(224) 535-8215
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
—
—
Other
Enumeration date
05/22/2012
Last updated
09/15/2022
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