Organization
KANKAKEE VALLEY DIALYSIS NETWORK
Active
Other names
Manteno Dialysis Centre
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY A HARSY RN (COO)
(815) 937-8742
Entity
Organization
Contact information
Practice address
1 E DIVISION ST, MANTENO, IL 60950-1507
(815) 468-1000
(815) 468-7271
Mailing address
1 E DIVISION ST, MANTENO, IL 60950-1507
(815) 468-1000
(815) 468-7271
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
000142671
IL
Other
Enumeration date
11/13/2006
Last updated
05/23/2013
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