| NPI | 1215365366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSON ASCHLIMAN Manager 847-894-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-11-17 |