MOTTE DIALYSIS LLC NPI 1932664224

NPI Information

MOTTE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Oak Lawn, IL. MOTTE DIALYSIS LLC NPI is 1932664224. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Meadows Dialysis.

The provider's business location address is:

5020 W 95TH ST
OAK LAWN, IL
ZIP 60453-402
Phone: (708) 229-0778
Fax: (708) 425-2916

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 CLIA number assigned to this NPI record is 14D2162685 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 11/2/2023.

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:

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