Organization
OAK PARK KIDNEY CENTER LLC
Active
Other names
Maple Avenue Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM M SYED SHAH RN, MSN (UNIT DIRECTOR)
(708) 660-4100
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, STE 4100, OAK PARK, IL 60304-1091
(708) 660-4100
(708) 660-4103
Mailing address
610 S MAPLE AVE, STE 4100, OAK PARK, IL 60304-1091
(708) 660-4100
(708) 660-4103
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
142644
IL
Other
Enumeration date
08/13/2006
Last updated
03/12/2020
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