VILLA PARK HOME DIALYSIS LLC

VILLA PARK, IL
NPI1669762050
Entity TypeOrganization
Authorized ContactWASAY ALI HUMAYUN
President
630-670-8824
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2011-04-19
Last Update Date2011-04-19
Business Address
VILLA PARK HOME DIALYSIS LLC
1634 S ARDMORE AVE
VILLA PARK, IL 60181-3742
Phone number: 630-670-8824
Mailing Address
VILLA PARK HOME DIALYSIS LLC
1634 S ARDMORE AVE
VILLA PARK, IL 60181-3742
Phone number: 630-670-8824