| NPI | 1609856640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARTHA SRINIVASAN CEO & Medical Director 309-345-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IL 001) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-07-21 |