| NPI | 1922007046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH ALLA Medical Director 309-762-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2014-08-29 |