| NPI | 1841250289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUVAN CHAWLA Medical Director 815-741-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-07-17 |