Organization
HOME DIALYSIS THERAPIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSAN USMAN MD (CEO)
(314) 560-9648
Entity
Organization
Contact information
Practice address
100 FAITH DR, HIGHLAND, IL 62249-2638
(309) 642-6705
(309) 347-2623
Mailing address
100 FAITH DR, HIGHLAND, IL 62249-2638
(309) 642-6705
(309) 347-2623
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
01/03/2024
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