NPI | 1235199076 |
---|---|
Doing Business As | DES PLAINES HOME TRAINING DIALYSIS |
Entity Type | Organization |
Authorized Contact | THOMAS O. USILTON Group Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IL N / A) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-08-22 |