Organization
HOME DIALYSIS OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON (CEO)
(847) 593-8460
Entity
Organization
Contact information
Practice address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(224) 292-5411
Mailing address
PO BOX 451, NORTHBROOK, IL 60065-0451
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
03/30/2023
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