NPI | 1821507674 |
---|---|
Doing Business As | IRVING PARK DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-09-25 |
Last Update Date | 2023-11-15 |