Fenton Dialysis LLC
NPI #1740690064 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1740690064
- Entity Type
- Organization
- Organization Name
- Fenton Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 8, 2014
- Last Updated
- May 8, 2014
Practice Location
- Address
- 303 S COMMERCIAL ST STE 15
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2125
- Phone
- (615) 341-6657
Authorized Official
- Name
- JAMES K HILGER
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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