ISD RENAL INC NPI 1235155391

NPI Information

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. ISD RENAL INC NPI is 1235155391. The provider is registered as an organization entity type.
The provider Is Doing Business As Loop Renal Center.

The provider's business location address is:

1101 S CANAL ST
CHICAGO, IL
ZIP 60607
Phone: (312) 341-2543
Fax: (312) 341-9498

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 enumeration date for this NPI number is 7/14/2006 and was last updated on 10/29/2020.

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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