| NPI | 1811944788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSME CRUZ President 312-505-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-21 |