| NPI | 1750808374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIJI THOMAS Partner 630-687-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |