Isd Renal INC

NPI #1417978156 in Waukegan, Illinois

Provider Information

NPI Number
1417978156
Entity Type
Organization
Organization Name
Isd Renal INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 21, 2006
Last Updated
Mar 20, 2025

Practice Location

Address
3350 GRAND AVE STE 101
ZIP Code
60085-2206
Phone
(847) 599-6057

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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