Isd Renal INC
NPI #1467478586 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1467478586
- Entity Type
- Organization
- Organization Name
- Isd Renal INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 3470 W 183RD ST
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2428
- Phone
- (708) 799-3101
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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