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Kidney Disease And Medicine Specialty Consultants Llc
Specialist in Carbondale, Illinois
NPI 1538190129

Kidney Disease And Medicine Specialty Consultants Llc is a Specialist based in Carbondale, IL. Kidney Disease And Medicine Specialty Consultants Llc practices in Carbondale, IL. The NPI Number for Kidney Disease And Medicine Specialty Consultants Llc is 1538190129 and holds a License No. 036092577 (Illinois).

The current practice location address for Kidney Disease And Medicine Specialty Consultants Llc is 1350 Cedar Court, Carbondale, IL and can be reached out via phone at 618-529-2955 and via fax at 618-457-7823.

Location: 1350 Cedar Court, Carbondale, IL, 62901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538190129
Provider Name
Kidney Disease And Medicine Specialty Consultants Llc
Credential
Provider Entity Type
Organization
Address
1350 Cedar Court, Carbondale, IL, 62901
Phone Number
618-529-2955
Fax Number
618-457-7823
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036092577 05 IL
institution
Provider Business Practice Location Address Details
Address
1350 Cedar Court
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-2955
Fax Number
618-457-7823
person
Provider Business Mailing Address Details
Address
1350 Cedar Court
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-2955
Fax Number
618-457-7823
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036092577 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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