Organization
NORTHWEST KIDNEY CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY A RADY CPC (BILLING)
(847) 429-0571
Entity
Organization
Contact information
Practice address
2707 CARRINGTON DR, WEST DUNDEE, IL 60118-1755
(847) 429-0571
Mailing address
2707 CARRINGTON DR, WEST DUNDEE, IL 60118-1755
(847) 429-0571
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036096969
IL
Other
Enumeration date
04/02/2008
Last updated
06/25/2012
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