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Kidney Care Services Of Southern Illinois, Ltd
Medical Specialty Clinic/Center in Du Quoin, Illinois
NPI 1669501912

Kidney Care Services Of Southern Illinois, Ltd is a Medical Specialty Clinic/Center based in Du Quoin, IL and is specialized in Medical Specialty. Kidney Care Services Of Southern Illinois, Ltd practices in Du Quoin, IL. The NPI Number for Kidney Care Services Of Southern Illinois, Ltd is 1669501912 and holds a License No. 036102569 (Illinois).

The current practice location address for Kidney Care Services Of Southern Illinois, Ltd is 900 N Washington St, Du Quoin, IL and can be reached out via phone at 618-542-3048 and via fax at 618-542-3097.

Location: 900 N Washington St, Du Quoin, IL, 62832-0181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669501912
Provider Name
Kidney Care Services Of Southern Illinois, Ltd
Credential
Provider Entity Type
Organization
Address
900 N Washington St, Du Quoin, IL, 62832-0181
Phone Number
618-542-3048
Fax Number
618-542-3097
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036102569 05 IL
institution
Provider Business Practice Location Address Details
Address
900 N Washington St
City
Du Quoin
State
Illinois
Zip
62832-1230
Phone Number
618-542-3048
Fax Number
618-542-3097
person
Provider Business Mailing Address Details
Address
900 N Washington St
City
Du Quoin
State
Illinois
Zip
62832-1230
Phone Number
618-542-3048
Fax Number
618-542-3097
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036102569 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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