DIALYSIS CENTERS OF AMERICA - ILLINOIS INC. NPI 1972618726

NPI Information

DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Bloomington, IL. DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC. NPI is 1972618726. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg Central Illinois-bloomington Capd.

The provider's business location address is:

1404 EASTLAND DR
UNIT 103
BLOOMINGTON, IL
ZIP 61701-532
Phone: (309) 664-2284
Fax: (309) 661-0797

The provider's authorized official is Mark R. Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 10/4/2011.

Taxonomy Codes

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Other Identifiers

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