ITASCA DIALYSIS LLC

CHICAGO, IL
NPI1699288092
Doing Business AsBRIGHTON PARK DIALYSIS
Entity TypeOrganization
Authorized ContactSAMUEL WEY
VP Licensure & Certification
615-341-6641
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2017-11-08
Last Update Date2024-07-15
Business Address
ITASCA DIALYSIS LLC
4737 S CALIFORNIA AVE
CHICAGO, IL 60632-2015
Phone number: 773-523-2441
Mailing Address
ITASCA DIALYSIS LLC
5200 VIRGINIA WAY ATT: L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: