SAINT ANTHONY HOSPITAL NPI 1861831315

NPI Information

SAINT ANTHONY HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. SAINT ANTHONY HOSPITAL NPI is 1861831315. The provider is registered as an organization entity type.
The provider Other Name Is Dialysis Clinic.

The provider's business location address is:

3059 W. 26TH ST.
SAH DIALYSIS CLINIC
CHICAGO, IL
ZIP 60623-131
Phone: (773) 696-9470
Fax: (773) 376-3811

The provider's authorized official is Guy Medaglia .
The authorized official title is Authorized Official and has the following contact phone number (773) 484-4783.

The CLIA number assigned to this NPI record is 14D2065121 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 4/19/2020.

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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