| NPI | 1114290475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZDZISLAWA TERESA MAJKA-KRAVETS CEO 815-245-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 042.005614) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2019-04-15 |