Tri-Cities Dialysis LLC

NPI #1982607156 in Geneva, Illinois

Provider Information

NPI Number: 1982607156
Entity Type: Organization
Organization Name: Tri-Cities Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 23, 2005
Last Updated: Jun 19, 2008

Practice Location

Address: 306 RANDALL RD
City: Geneva
State: Illinois
ZIP Code: 60134-4200
Phone: (630) 262-1306

Authorized Official

Name: MR. CALVIN GANONG
Title: CHIEF OPERATING OFFICER
Phone: (630) 851-1206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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