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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