Organization
GARFIELD KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED NOVAK (CEO)
(773) 265-7301
Entity
Organization
Contact information
Practice address
3250 W FRANKLIN BLVD, CHICAGO, IL 60624-1509
(773) 638-1160
(773) 638-1449
Mailing address
3250 W FRANKLIN BLVD, CHICAGO, IL 60624-1509
(773) 638-1160
(773) 638-1449
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50339
BLUE CROSS
IL
Enumeration date
07/30/2006
Last updated
04/20/2008
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