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

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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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.