| NPI | 1891707196 |
|---|---|
| Doing Business As | MAPLE AVENUE KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | KAREEM M SYED SHAH Unit Director 708-660-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IL 142644) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-03-12 |