Axolotl, LLC
NPI #1609136019 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1609136019
- Entity Type
- Organization
- Organization Name
- Axolotl, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 18, 2012
- Last Updated
- May 18, 2012
Practice Location
- Address
- 130 E CLARK ST
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2700
- Phone
- (618) 922-9952
Authorized Official
- Name
- KEVIN CHEN
- Title
- OWNER
- Phone
- (618) 922-9952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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