Avertrail Dialysis LLC

NPI #1912482654 in Villa Park, Illinois

Provider Information

NPI Number
1912482654
Entity Type
Organization
Organization Name
Avertrail Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 28, 2018
Last Updated
Jun 4, 2024

Practice Location

Address
196 W NORTH AVENUE
ZIP Code
60181-1226
Phone
(630) 279-3350

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

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

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