| NPI | 1255304051 |
|---|---|
| Doing Business As | EVANSTON DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY MICHAEL COOPER SVP Finance Operations/AO 615-221-3840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: WY 06-102) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-09-03 |