| NPI | 1669853206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM SYED SHAH Manager 630-748-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |