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Organization

KIDNEY CARE CENTER ROCKFORD 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
6940 VILLAGREEN VIEW, ROCKFORD, IL 61107-5605
(779) 774-9272
(779) 774-9273
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 435-5080

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
02/07/2014
Last updated
09/15/2022
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