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Organization

SRS-CHICAGO CIRCLE, LLC

Active
Other names
SRS Dialysis of Chicago
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME S TANNENBAUM M.D., PH.D., FACP (CEO)
(615) 467-0140
Entity
Organization

Contact information

Practice address
1426 W WASHINGTON BLVD, CHICAGO, IL 60607-1821
(615) 467-0140
(615) 259-0693
Mailing address
PO BOX 198813, NASHVILLE, TN 37219-8813
(615) 988-7881

Taxonomy

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

Other

Enumeration date
03/07/2022
Last updated
03/27/2024
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