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Axolotl, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Harrisburg, Illinois
NPI 1609136019

Axolotl, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Marion, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Axolotl, Llc practices in Harrisburg, IL. The NPI Number for Axolotl, Llc is 1609136019 and holds a License No. (Illinois).

The current practice location address for Axolotl, Llc is 130 E Clark St, Harrisburg, IL and can be reached out via phone at 618-922-9952.

Location: 130 E Clark St, Harrisburg, IL, 62959-5231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609136019
Provider Name
Axolotl, Llc
Credential
Provider Entity Type
Organization
Address
130 E Clark St, Harrisburg, IL, 62959-5231
Phone Number
618-922-9952
Fax Number
Provider Enumeration Date
05/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 E Clark St
City
Harrisburg
State
Illinois
Zip
62946-2700
Phone Number
618-922-9952
Fax Number
person
Provider Business Mailing Address Details
Address
130 E Clark St
City
Harrisburg
State
Illinois
Zip
62946-2700
Phone Number
618-922-9952
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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