| NPI | 1265823918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA M KHAN Owner 847-401-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-03-27 |