JOLIET DIALYSIS HOLDINGS LLC NPI 1114290475

NPI Information

NPI: 1114290475
Provider Name: JOLIET DIALYSIS HOLDINGS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
368 S. WEBER ROAD
ROMEOVILLE, IL
ZIP 60446
Phone: (815) 254-0283
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JOLIET DIALYSIS HOLDINGS, LLC is an end-stage renal disease (esrd) treatment clinic center in Romeoville, IL. JOLIET DIALYSIS HOLDINGS, LLC NPI is 1114290475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

368 S. WEBER ROAD
ROMEOVILLE, IL
ZIP 60446
Phone: (815) 254-0283
Fax: (815) 254-1397

The provider's authorized official is Zdzislawa Teresa Majka-kravets .
The authorized official title is Ceo and has the following contact phone number (815) 245-2466.

The enumeration date for this NPI number is 2/17/2012 and was last updated on 4/15/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	042.005614	ILLINOIS	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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