Home Dialysis Services Hickory Hills Llc

NPI 1083053417 - Clinic/Center - 261QE0700X

NPI Details
NPI 1083053417
Enumeration Date 06/19/2013
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MORUFU MORUFU
Position MEDICAL DIRECTOR /CEO
Phone (708) 598-2554
Fax (708) 598-2558
Practice Location
7831 W 95TH ST
SUITE C
HICKORY HILLS IL, 60457, US
Phone (708) 598-2554
Fax (708) 598-2558
Business Location
PO BOX 3134
JOLIET IL, 60434-3134, US
Phone (708) 598-2554
Fax (708) 598-2558
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1083053417 NPI Number
 

According to our database, Home Dialysis Services Hickory Hills Llc NPI is 1083053417, taxonomy code is 261QE0700X Home Dialysis Services Hickory Hills Llc physically located at 7831 W 95th St, Hickory Hills IL, 60457. NPI Number 1033115704 has the healthcare provider type.

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1083053417 NPI number is provided on an as is basis without warranty of any kind. 1083053417 is maintained by the National Plan & Provider Enumeration System. The contents of Home Dialysis Services Hickory Hills Llc are for informational purposes only.