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Central Illinois Kidney & Dialysis Associates, Sc
Nephrology Physician in Springfield, Illinois
NPI 1598788994

Central Illinois Kidney & Dialysis Associates, Sc is a Nephrology Physician based in Springfield, IL and is specialized in Nephrology. Central Illinois Kidney & Dialysis Associates, Sc practices in Springfield, IL. The NPI Number for Central Illinois Kidney & Dialysis Associates, Sc is 1598788994 and holds a License No. 042005163 (Illinois).

The current practice location address for Central Illinois Kidney & Dialysis Associates, Sc is 3401 Conifer Dr, Springfield, IL and can be reached out via phone at 217-726-0967 and via fax at 217-726-7633.

Location: 3401 Conifer Dr, Springfield, IL, 62711-8300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598788994
Provider Name
Central Illinois Kidney & Dialysis Associates, Sc
Credential
Provider Entity Type
Organization
Address
3401 Conifer Dr, Springfield, IL, 62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31664 01 GHP GROUP PROVIDER NUMBER
8415035 01 BLUE CROSS BLUE SHIELD NU
institution
Provider Business Practice Location Address Details
Address
3401 Conifer Dr
City
Springfield
State
Illinois
Zip
62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
person
Provider Business Mailing Address Details
Address
3401 Conifer Dr
City
Springfield
State
Illinois
Zip
62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
042005163 (Illinois)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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