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MSA ALLIANCE, LLC
NPI 1366781171
Internal Medicine - Nephrology in Waterloo, IL

Active since February 14, 2013
624 VONS-JOST, WATERLOO, IL 62298(618) 234-6003 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Msa Alliance, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MSA ALLIANCE, LLC (NPI 1366781171) is a healthcare organization registered as a nephrology in Waterloo, Illinois and active in the NPI registry since February 2013. The organization lists James B. Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366781171
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMSA ALLIANCE, LLC
Location Address624 VONS-JOSTWaterloo, IL 62298-1592
Mailing Address4500 Memorial Dr, Medical Affairs Credentialing DepartmentBelleville, IL 62226-5360 · (618) 257-4644 · Fax (618) 257-6946
Phone(618) 234-6003
Organization SubpartYes
Authorized OfficialJames B. DavisExecutive Director · (618) 257-4644
Enumeration DateFebruary 14, 2013
Last NPPES UpdateJune 2, 2016
✔ NPI 1366781171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.

624 VONS-JOST, Waterloo, IL 62298
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is MSA ALLIANCE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1366781171, enumerated as an "organization" on February 14, 2013.

Where is the provider located?

The provider is located at 624 VONS-JOST WATERLOO, IL 62298 and the phone number is (618) 234-6003.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.