institution
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
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
03/08/2024
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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
State
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
State
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
License No.
N/A (Illinois)
Definition
Definition to come...
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