Organization
ADVANCED KIDNEY INSTITUTE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN C CHEN M.D. (M.D.)
(618) 997-8412
Entity
Organization
Contact information
Practice address
3405 OFFICE PARK DRIVE, MARION, IL 62959
(618) 997-8412
Mailing address
PO BOX 1887, MARION, IL 62959-8087
(618) 997-8412
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108368
—
IL
Enumeration date
03/01/2007
Last updated
05/21/2008
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