Organization
WELLBOUND OF EVANSTON LLC
Active
Parent organization
WELLBOUND LLC
Other names
WellBound of Evanston
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLBOUND LLC
Authorized official
SUSAN L DEL BENE (SECRETARY/CFO)
(650) 404-3618
Entity
Organization
Contact information
Practice address
8950 GROSS POINT RD, SKOKIE, IL 60077-1860
(847) 965-1901
(847) 965-1952
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(847) 965-1901
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
12/29/2016
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