Organization · Type 2 NPI
Home Dialysis Services Bloomington LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bloomington, IL
NPI number
1104231554
Active
Practice location
3901 General Electric Rd Ste 1
Bloomington, IL 61704-4195
Fax (309) 808-4352
Mailing address
PO Box 3134
Joliet, IL 60434-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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- Fresenius Medical Care Normal, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Bloomington, IL NPI 1881245405
- Dialysis Centers of America - Illinois, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Bloomington, IL NPI 1972618726
About NPI 1104231554
Home Dialysis Services Bloomington LLC's National Provider Identifier is 1104231554, issued on Jun 24, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bloomington, IL. The record was last updated on Oct 1, 2018.