institution
Itasca Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chicago, Illinois
NPI 1699288092

Itasca Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Itasca Dialysis Llc practices in Chicago, IL. The NPI Number for Itasca Dialysis Llc is 1699288092 and holds a License No. (Illinois).

The current practice location address for Itasca Dialysis Llc is 4737 S California Ave, Chicago, IL and can be reached out via phone at 773-523-2441 and via fax at 773-523-2468.

Location: 4737 S California Ave, Chicago, IL, 37027-7569
institution
Provider Profile Details
NPI Number
1699288092
Provider Name
Itasca Dialysis Llc
Credential
Provider Entity Type
Organization
Address
4737 S California Ave, Chicago, IL, 37027-7569
Phone Number
773-523-2441
Fax Number
773-523-2468
Provider Enumeration Date
11/08/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4737 S California Ave
City
State
Zip
60632-2015
Phone Number
773-523-2441
Fax Number
773-523-2468
person
Provider Business Mailing Address Details
Address
4737 S California Ave
City
State
Zip
60632-2015
Phone Number
773-523-2441
Fax Number
773-523-2468
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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