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KIDNEY CARE CENTER BLOOMINGTON LLC
NPI 1932514387
Internal Medicine - Nephrology in Peoria, IL

Active since June 24, 2014
719 MAIN ST, PEORIA, IL 61602(309) 839-8364(309) 713-1257 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kidney Care Center Bloomington Llc NPPES

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

KIDNEY CARE CENTER BLOOMINGTON LLC (NPI 1932514387) is a healthcare organization registered as a nephrology in Peoria, Illinois and active in the NPI registry since June 2014. The organization maintains a secondary practice location in Bloomington and lists Morufu Alausa, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1932514387
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER BLOOMINGTON LLC
Location Address719 MAIN STPeoria, IL 61602-1083
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Phone(309) 839-8364
Fax(309) 713-1257
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director/ceo · (815) 741-6830
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 17, 2018
✔ NPI 1932514387 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.
719 MAIN ST, Peoria, IL 61602
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Secondary Practice Location 1

Location 13901 General Electric Rd Ste 1Bloomington, IL 61704-4195 · Phone (309) 808-1226 · Fax (309) 808-4352

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
719 MAIN ST
PEORIA, IL 61602
Peoria County (309) 673-4208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Care Center Bloomington LLC's NPI number?

The NPI number for Kidney Care Center Bloomington LLC is 1932514387. It was assigned to this organization in the NPPES registry on June 24, 2014.

Where is Kidney Care Center Bloomington LLC located?

Kidney Care Center Bloomington LLC is located at 719 Main St, Peoria, IL 61602. The listed phone number is (309) 839-8364.

What is Kidney Care Center Bloomington LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Kidney Care Center Bloomington LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.