RENAL LIFE LINK INC NPI 1215023338

NPI Information

RENAL LIFE LINK INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. RENAL LIFE LINK INC NPI is 1215023338. The provider is registered as an organization entity type.
The provider Is Doing Business As Beverly Dialysis.

The provider's business location address is:

8109 SOUTH WESTERN AVE
CHICAGO, IL
ZIP 60620-939
Phone: (773) 778-0173
Fax: (773) 778-0193

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 14D1016004 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/13/2020.

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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