| NPI | 1760803951 |
|---|---|
| Doing Business As | DIALYSIS CARE CENTER GREAT LAKES WEST |
| 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 |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2025-04-07 |