Organization
AFFILIATED DIALYSIS OF JOLIET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSON ASCHLIMAN (MANAGER)
(847) 894-1951
Entity
Organization
Contact information
Practice address
1352 HOUBOLT RD, JOLIET, IL 60431-9215
(630) 942-1111
(630) 942-1112
Mailing address
2462 WASHINGTON RD, WASHINGTON, IL 61571-1756
(309) 698-1800
(309) 713-1556
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
11/17/2020
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