| NPI | 1861831315 |
|---|---|
| Other Name | DIALYSIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROSE ROSARIO Authorized Official 773-484-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IL Permit 12-090) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-08-28 |