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Organization

COWELL DIALYSIS LLC

Active
Other names
Lawndale Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
3934 W 24TH ST, CHICAGO, IL 60623-3371
(773) 277-0578
(773) 542-1381
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/05/2012
Last updated
03/13/2025
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