Mmb Dialysis, LLC

NPI #1205052735 in Macomb, Illinois

Provider Information

NPI Number: 1205052735
Entity Type: Organization
Organization Name: Mmb Dialysis, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MIDWEST KIDNEY CENTERS
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 17, 2007
Last Updated: Sep 3, 2008

Practice Location

Address: 523 E GRANT ST
City: Macomb
State: Illinois
ZIP Code: 61455-3313
Phone: (309) 836-1662

Authorized Official

Name: DR. ROBERT T. SPARROW, M.D.
Title: PRESIDENT
Phone: (309) 676-8123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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