Organization · Type 2 NPI
Home Dialysis Services Peoria LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Peoria, IL
NPI number
1275922890
Active
Practice location
719 Main St Ste B
Peoria, IL 61602-1084
Fax (309) 713-2633
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...
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About NPI 1275922890
Home Dialysis Services Peoria LLC's National Provider Identifier is 1275922890, issued on Jan 20, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Peoria, IL. The record was last updated on Oct 1, 2018.