Organization · Type 2 NPI
Dialyze Direct Il LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Shelbyville, IL
NPI number
1124678529
Active
Practice location
410 S Heinlein Dr
Shelbyville, IL 62565-7800
Mailing address
3297 State Route 66
Neptune, NJ 07753-2762
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Shelbyville
About NPI 1124678529
Dialyze Direct Il LLC's National Provider Identifier is 1124678529, issued on Sep 17, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Shelbyville, IL. The record was last updated on Sep 17, 2019.