Dialysis of Northern Illinois LLC

NPI #1598774929 in Monroe, Wisconsin

Provider Information

NPI Number
1598774929
Entity Type
Organization
Organization Name
Dialysis of Northern Illinois LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 5, 2006
Last Updated
Oct 19, 2009

Practice Location

Address
114 8TH ST
City
Monroe
ZIP Code
53566-1050
Phone
(608) 325-3585

Authorized Official

Name
THOMAS O USILTON JR.
Title
SR VICE PRESIDENT
Phone
(770) 541-7922

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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