Dialyze Direct Il LLC
NPI #1124678529 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1124678529
- Entity Type
- Organization
- Organization Name
- Dialyze Direct Il LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 17, 2019
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 410 S HEINLEIN DR
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565-7800
- Phone
- (732) 806-9990
Authorized Official
- Name
- JOSHUA ROTHENBERG
- Title
- COO
- Phone
- (732) 806-9990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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