Dialyze Direct Il LLC
NPI #1265903876 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1265903876
- Entity Type
- Organization
- Organization Name
- Dialyze Direct Il LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 7, 2018
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 800 ROOSEVELT RD STE E320
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5893
- Phone
- (732) 806-9968
Authorized Official
- Name
- JOSHUA ROTHENBERG
- Title
- CHIEF OPERATING OFFICER
- Phone
- (732) 806-9968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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