Organization
KIDNEY CARE CENTER OLYMPIA FIELDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D. (MEDICAL DIRECTOR/CEO)
(815) 741-6830
Entity
Organization
Contact information
Practice address
3302 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1179
(708) 898-0811
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7171
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
09/15/2022
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