| NPI | 1053410001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. WILLIAMSON CFO 217-222-6550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-02-10 |