Kidney Center South LLC
NPI #1063878072 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1063878072
- Entity Type
- Organization
- Organization Name
- Kidney Center South LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 6, 2016
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 16767 80TH AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2361
- Phone
- (708) 429-4738
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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