Organization · Type 2 NPI
Axolotl, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harrisburg, IL
NPI number
1609136019
Active
Practice location
130 E Clark St
Harrisburg, IL 62946-2700
Mailing address
1507 Gleneagle Dr
Marion, IL 62959-5231
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
Other end-stage renal disease (esrd) treatment clinic/center providers in Harrisburg
About NPI 1609136019
Axolotl, LLC's National Provider Identifier is 1609136019, issued on May 18, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Harrisburg, IL. The record was last updated on May 18, 2012.