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Organization

NOCTURNAL DIALYSIS SPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREEM SYED SHAH (MANAGER)
(630) 748-9407
Entity
Organization

Contact information

Practice address
1634 S ARDMORE AVE, VILLA PARK, IL 60181-3742
(630) 620-1233
Mailing address
1634 S ARDMORE AVE, VILLA PARK, IL 60181-3742
(630) 620-1233

Taxonomy

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

Other

Enumeration date
06/09/2015
Last updated
06/09/2015
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