Organization · Type 2 NPI
East Oaks Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chicago, IL
NPI number
1629697917
Active
Practice location
2950 W 26th St
Chicago, IL 60623-4127
Fax (773) 916-4825
Mailing address
5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569
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 1629697917
East Oaks Dialysis LLC's National Provider Identifier is 1629697917, issued on Apr 16, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 11, 2022.