| NPI | 1922410125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORUFU ALAUSA Medical Director/CEO 815-741-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-10-11 |