Organization
AFFILIATED DIALYSIS OF GLEN ELLYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURT D ANLIKER (MEMBER REPRESENTATIVE)
(630) 942-1111
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD, E320, GLEN ELLYN, IL 60137-5875
(630) 942-1111
(630) 942-1112
Mailing address
800 ROOSEVELT RD, E320, GLEN ELLYN, IL 60137-5839
(630) 942-1111
(630) 942-1112
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
02/27/2015
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