Organization
LOCKPORT DIALYSIS LLC
Active
Other names
Lockport Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
16626 W 159TH ST, STE 703, LOCKPORT, IL 60441-8018
(815) 838-2918
(815) 838-4754
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
04/18/2013
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