| NPI | 1306965843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE MULL Director Of Patient Accounts 815-740-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: IL 1706432) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-02-03 |