Organization
YORKVILLE DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN GANONG (CHIEF OPERATING OFFICER)
(630) 851-1206
Entity
Organization
Contact information
Practice address
1400 BEECHER RD, YORKVILLE, IL 60560-5600
(630) 851-4812
(630) 851-7261
Mailing address
1300 WATERFORD DR, AURORA, IL 60504-5502
(630) 851-4812
(630) 851-7261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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