| NPI | 1104949981 |
|---|---|
| Doing Business As | MONTEFIORE IV |
| Entity Type | Organization |
| Authorized Contact | PAUL BALTER CEO And Owner 708-492-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-01-17 |