NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER, LLC NPI is 1861733503. The provider is registered as an organization entity type.
The provider's business location address is:
201 E HURON ST
SUITE 12-240
CHICAGO, IL
ZIP 60611-197
Phone: (312) 472-5200
Fax: (312) 472-5201
The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2730.
The CLIA number assigned to this NPI record is 14D2255425 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/5/2013 and was last updated on 3/18/2014.