DIALYSIS AT HOME NPI 1265823918

NPI Information

DIALYSIS AT HOME is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. DIALYSIS AT HOME NPI is 1265823918. The provider is registered as an organization entity type.

The provider's business location address is:

11638 S WESTERN AVE
CHICAGO, IL
ZIP 60643-730
Phone: (224) 735-3638

The provider's authorized official is Shahida M Khan .
The authorized official title is Owner and has the following contact phone number (847) 401-6079.

The CLIA number assigned to this NPI record is 14D2158066 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 3/27/2015.

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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