Organization · Type 2 NPI
Channahon Home Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Channahon, IL
NPI number
1174015796
Active
Practice location
27025 W Eames St
Channahon, IL 60410-5619
Mailing address
3100 Theodore St
Joliet, IL 60435-8534
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
About NPI 1174015796
Channahon Home Dialysis, LLC's National Provider Identifier is 1174015796, issued on May 30, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Channahon, IL. The record was last updated on Jun 3, 2019.