MSA ALLIANCE LLC NPI 1477893972

NPI Information

  • NPI: 1477893972
  • Provider Name: MSA ALLIANCE, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 9515 HOLY CROSS LN
    SUITE 3
    BREESE, IL
    ZIP 62230
  • Phone: (618) 526-8585

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NPI Details

MSA ALLIANCE, LLC is a nephrology internal medicine in Breese, IL. The provider is 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. MSA ALLIANCE, LLC NPI is 1477893972. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9515 HOLY CROSS LN
SUITE 3
BREESE, IL
ZIP 62230-618
Phone: (618) 526-8585

The provider's authorized official is James B. Davis .
The authorized official title is Executive Director and has the following contact phone number (618) 257-4644.

The enumeration date for this NPI number is 2/20/2013 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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