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Home Dialysis Services Riverside Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rockford, Illinois
NPI 1962084814

Home Dialysis Services Riverside Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Joliet, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Home Dialysis Services Riverside Llc practices in Rockford, IL. The NPI Number for Home Dialysis Services Riverside Llc is 1962084814 and holds a License No. (Illinois).

The current practice location address for Home Dialysis Services Riverside Llc is 1007 W Riverside Blvd Ste B, Rockford, IL and can be reached out via phone at 779-256-4040 and via fax at 779-256-4086.

Location: 1007 W Riverside Blvd Ste B, Rockford, IL, 60434-3134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962084814
Provider Name
Home Dialysis Services Riverside Llc
Credential
Provider Entity Type
Organization
Address
1007 W Riverside Blvd Ste B, Rockford, IL, 60434-3134
Phone Number
779-256-4040
Fax Number
779-256-4086
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 W Riverside Blvd Ste B
City
Rockford
State
Illinois
Zip
61103-2158
Phone Number
779-256-4040
Fax Number
779-256-4086
person
Provider Business Mailing Address Details
Address
1007 W Riverside Blvd Ste B
City
Rockford
State
Illinois
Zip
61103-2158
Phone Number
779-256-4040
Fax Number
779-256-4086
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.
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Definition
Definition to come...
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