Organization
KIDNEY CARE CENTER BLOOMINGTON 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
719 MAIN ST, PEORIA, IL 61602-1083
(309) 839-8364
(309) 713-1257
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
06/24/2014
Last updated
03/17/2018
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