| NPI | 1205052735 |
|---|---|
| Doing Business As | D/B/A MACOMB DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | ROBERT T. SPARROW President 309-676-8123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-09-03 |