Organization
DIALYZE DIRECT IL LLC
Active
Other names
Dialyze Direct IL - Shelbyville
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (COO)
(732) 806-9990
Entity
Organization
Contact information
Practice address
410 S HEINLEIN DR, SHELBYVILLE, IL 62565-7800
(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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