Affiliated Dialysis of Glen Ellyn LLC
NPI #1710252614 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1710252614
- Entity Type
- Organization
- Organization Name
- Affiliated Dialysis of Glen Ellyn LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Feb 27, 2015
Practice Location
- Address
- 800 ROOSEVELT RD
- Address 2
- E320
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5875
- Phone
- (630) 942-1111
Authorized Official
- Name
- MR. CURT D ANLIKER
- Title
- MEMBER REPRESENTATIVE
- Phone
- (630) 942-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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