Organization
EQUIPE RENAL CARE OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIMON MEYSTEL (CEO)
(773) 749-1575
Entity
Organization
Contact information
Practice address
6633 N KIMBALL AVE, LINCOLNWOOD, IL 60712-3731
(773) 749-1575
Mailing address
6633 N KIMBALL AVE, LINCOLNWOOD, IL 60712-3731
(773) 749-1575
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
IL
Other
Enumeration date
05/07/2013
Last updated
11/26/2013
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