Isd Renal INC
NPI #1073532420 in Country Club Hills, Illinois
Provider Information
- NPI Number
- 1073532420
- Entity Type
- Organization
- Organization Name
- Isd Renal INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Mar 19, 2025
Practice Location
- Address
- 4215 W 167TH ST
- State
- Illinois
- ZIP Code
- 60478-2017
- Phone
- (708) 206-1845
Authorized Official
- Name
- SAMUEL T 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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