Fresenius Medical Care Of Illinois, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Metropolis, IL. Organization (NPI-2).
NPI number1396901807
StatusActive
Last updated in NPPESAug 29, 2011
Details
- NPI
- 1396901807
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresenius Medical Care Of Illinois, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 4, 2008
- Last updated
- Aug 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Fresenius Medical Care Metropolis (Doing Business As)
Practice location
20 Hospital Dr.Metropolis, IL 62960-2467
Phone 618-524-3046
Mailing address
20 Hospital Dr.Metropolis, IL 62960-2467
Phone 618-524-3046
Authorized official
Mark Fawcett
Treasurer
7816999000
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