| NPI | 1184123176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMON MEYSTEL Manager 847-233-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2021-08-03 |