Organization
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MARK R. FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1404 EASTLAND DR, UNIT 103, BLOOMINGTON, IL 61701-3532
(309) 664-2284
(309) 661-0797
Mailing address
1404 EASTLAND DR, UNIT 103, BLOOMINGTON, IL 61701-3532
(309) 664-2284
(309) 661-0797
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
10/04/2011
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