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Organization

DIALYZE DIRECT IL LLC

Active
Other names
Dialyze Direct IL - Oak Park
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA ROTHENBERG (COO)
(732) 806-9990
Entity
Organization

Contact information

Practice address
715 LAKE ST, OAK PARK, IL 60301-1422
(732) 806-9990
Mailing address
3297 STATE ROUTE 66, NEPTUNE, NJ 07753-2762

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/17/2019
Last updated
09/17/2019
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