ISD RENAL INC NPI 1003832148

NPI Information

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Arlington Heights, IL. ISD RENAL INC NPI is 1003832148. The provider is registered as an organization entity type.
The provider Is Doing Business As Arlington Heights Renal Center.

The provider's business location address is:

17 W GOLF RD
ARLINGTON HEIGHTS, IL
ZIP 60005-905
Phone: (847) 437-2188
Fax: (847) 437-1891

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 14D1000130 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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