| NPI | 1720095417 |
|---|---|
| Doing Business As | DIALYSIS CARE CENTER GREAT LAKES EAST |
| Entity Type | Organization |
| Authorized Contact | MORUFU OLATUNJI ALAUSA Authorized Official / Cmo 815-741-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MI 4301072901) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-04-07 |