| NPI | 1184636516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHEW Billing Supersivor 312-829-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 36061118) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IL 36061118) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2016-05-19 |