Organization
MONETT DIALYSIS LLC
Active
Other names
Northside Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2550 W ADDISON ST, SUITE A4, CHICAGO, IL 60618-5939
(773) 281-2217
(773) 549-2580
Mailing address
5200 VIRGINIA WAY, ATTN: LICENSURE & CERTIFICATION, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/13/2025
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