Affiliated Dialysis Of Joliet LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Joliet, IL. Organization (NPI-2).
NPI number1215365366
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1215365366
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Dialysis Of Joliet LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2013
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
1352 Houbolt RdJoliet, IL 60431-9215
Phone 630-942-1111 · Fax 630-942-1112
Mailing address
2462 Washington RdWashington, IL 61571-1756
Phone 309-698-1800 · Fax 309-713-1556
Authorized official
Tyson Aschliman
Manager
8478941951
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