Home Dialysis Network INC.
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Joliet, IL. Organization (NPI-2).
NPI number1366626327
StatusActive
Last updated in NPPESJan 7, 2009
Details
- NPI
- 1366626327
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Dialysis Network INC.
- Organization subpart
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- Jan 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 036101242 | IL | Yes |
Practice location
95 Infantry DrJoliet, IL 60435
Phone 815-741-6830 · Fax 815-741-6832
Mailing address
95 Infantry DriveJoliet, IL 60435
Phone 815-741-6830 · Fax 815-741-6832
Authorized official
Morufu Olatunji Alausa
President
6306971414
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