Organization
SAINT ANTHONY HOSPITAL
Active
Parent organization
SAINT ANTHONY HOSPITAL
Other names
Dialysis Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ANTHONY HOSPITAL
Authorized official
DENNIS O ANOSIKE (CFO)
(773) 484-1000
Entity
Organization
Contact information
Practice address
3059 W. 26TH ST., SAH DIALYSIS CLINIC, CHICAGO, IL 60623-4131
(773) 696-9470
(773) 376-3811
Mailing address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(773) 484-1000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
PERMIT 12-090
IL
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
12/04/2024
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