| NPI | 1285850008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY FRERICKS Enrollments 217-223-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-01-04 |