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Medicl Facility ID: 4649837646108296276

Facility Business Name: DAVITA SPRINGFIELD MONTVALE DIALYSIS ( SPRINGFIELD, IL )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id4649837646108296276
Facility NameDAVITA SPRINGFIELD MONTVALE DIALYSIS
Address Line2930 S MONTVALE DRIVE, STE A
CitySPRINGFIELD
StateIL
Zip62704
CountySangamon
Phone217-793-2781
TypeDialysis Facility
Provider Id142590