Organization · Type 2 NPI
Ebrea Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Flossmoor, IL
NPI number
1902248792
Active
Practice location
19720 Governors Hwy Ste 2
Flossmoor, IL 60422-2029
Fax (708) 799-1252
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...
About NPI 1902248792
Ebrea Dialysis LLC's National Provider Identifier is 1902248792, issued on Jul 23, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Flossmoor, IL. The record was last updated on Mar 17, 2025.