Villa Park Home Dialysis LLC
NPI #1669762050 in Villa Park, Illinois
Provider Information
- NPI Number
- 1669762050
- Entity Type
- Organization
- Organization Name
- Villa Park Home Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 19, 2011
- Last Updated
- Apr 19, 2011
Practice Location
- Address
- 1634 S ARDMORE AVE
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-3742
- Phone
- (630) 670-8824
Authorized Official
- Name
- DR. WASAY ALI HUMAYUN, M.D.
- Title
- PRESIDENT
- Phone
- (630) 670-8824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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