Organization
LINCOLN PARK DIALYSIS SERVICES INC
Active
Other names
Kennedy Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
5513 N CUMBERLAND AVE STE 703, CHICAGO, IL 60656-1471
(773) 775-6278
(773) 631-9431
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
06/23/2015
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