institution
Usrc Villa Park, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Villa Park, Illinois
NPI 1093067415

Usrc Villa Park, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Usrc Villa Park, Llc practices in Villa Park, IL. The NPI Number for Usrc Villa Park, Llc is 1093067415 and holds a License No. (Illinois).

The current practice location address for Usrc Villa Park, Llc is 200 E North Ave, Villa Park, IL and can be reached out via phone at 630-530-5237 and via fax at 630-530-5242. You can also correspond with Usrc Villa Park, Llc through the mailing address at PO BOX 19119, JONESBORO, AR - 72403-6601 (mailing address contact number: 870-931-5400).

Location: 200 E North Ave, Villa Park, IL, 72403-6601
institution
Provider Profile Details
NPI Number
1093067415
Provider Name
Usrc Villa Park, Llc
Credential
Provider Entity Type
Organization
Address
200 E North Ave, Villa Park, IL, 72403-6601
Phone Number
630-530-5237
Fax Number
630-530-5242
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511682658001 05 IL
institution
Provider Business Practice Location Address Details
Address
200 E North Ave
City
State
Zip
60181-1221
Phone Number
630-530-5237
Fax Number
630-530-5242
person
Provider Business Mailing Address Details
Address
200 E North Ave
City
State
Zip
60181-1221
Phone Number
630-530-5237
Fax Number
630-530-5242
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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