Organization
SHERMAN HOSPITAL
Active
Other names
Crystal Lake Ambutal - Renal Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC RICHARD KRUEGER (VICE PRESIDENT OF FINANCE/CFO)
(847) 429-8718
Entity
Organization
Contact information
Practice address
4900 SOUTH ROUTE 31, CRYSTAL LAKE, IL 60012
(815) 479-5800
Mailing address
934 CENTER ST., ELGIN, IL 60120
(847) 742-9800
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0002162
IL
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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