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ISD RENAL INC NPI 1881610996


NPI Information

NPI: 1881610996
Provider Name: ISD RENAL INC

Doing Business As: SOUTH HOLLAND RENAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
16110 LA SALLE ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 331-7697
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ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in South Holland, IL. ISD RENAL INC NPI is 1881610996. The provider is registered as an organization entity type.
The provider Is Doing Business As South Holland Renal Center.

The provider's business location address is:

16110 LA SALLE ST
SOUTH HOLLAND, IL
ZIP 60473-299
Phone: (708) 331-7697
Fax: (708) 331-7698

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 12/1/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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