Organization
CENTER FOR RENAL REPLACEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES K YEUNG M.D. (MEDICAL DIRECTOR AND ADMINISTRATOR)
(847) 675-5555
Entity
Organization
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 205, LINCOLNWOOD, IL 60712-1709
(847) 675-5555
(847) 675-7019
Mailing address
4354 W PRATT AVE, LINCOLNWOOD, IL 60712-3544
(847) 674-0071
(847) 674-3878
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50400
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/13/2006
Last updated
08/22/2020
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