| NPI | 1215454657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM M SYED SHAH Manager 630-748-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2020-02-21 |