| NPI | 1962825844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORUFU ALAUSA Chief Medical Director 815-714-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA 055819) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2022-05-25 |