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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Effingham, Illinois
NPI 1245290782

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Effingham, IL. The NPI Number for Dva Renal Healthcare Inc is 1245290782 and holds a License No. N/A (Illinois).

The current practice location address for Dva Renal Healthcare Inc is 904 Medical Park Dr, Effingham, IL and can be reached out via phone at 217-342-9558 and via fax at 217-342-1049.

Location: 904 Medical Park Dr, Effingham, IL, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245290782
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
904 Medical Park Dr, Effingham, IL, 37027-7569
Phone Number
217-342-9558
Fax Number
217-342-1049
Provider Enumeration Date
03/27/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2300487 05 OH
institution
Provider Business Practice Location Address Details
Address
904 Medical Park Dr
City
Effingham
State
Illinois
Zip
62401-2193
Phone Number
217-342-9558
Fax Number
217-342-1049
person
Provider Business Mailing Address Details
Address
904 Medical Park Dr
City
Effingham
State
Illinois
Zip
62401-2193
Phone Number
217-342-9558
Fax Number
217-342-1049
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
N/A (Illinois)
Definition
Definition to come...
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