Organization
MMB DIALYSIS, LLC
Active
Parent organization
MIDWEST KIDNEY CENTERS
Other names
d/b/a Macomb Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST KIDNEY CENTERS
Authorized official
DR. ROBERT T. SPARROW M.D. (PRESIDENT)
(309) 676-8123
Entity
Organization
Contact information
Practice address
523 E GRANT ST, MACOMB, IL 61455-3313
(309) 836-1662
(309) 836-1661
Mailing address
200 E. PENNSYLVANIA AVE., SUITE 212, PEORA, IL 61603
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
09/03/2008
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