NPI 1578170221
Cook County
Practice location
- Address
- 430 East 51st Pl, Chicago, IL 60615
- Phone
- (312) 864-0200
Authorised official
- Name
- Scott Andrle
- Title
- Director of Managed Care
- Phone
- (312) 864-4649
Registered specialties
Renal Dialysis Technician
Primary
Registry record
- NPI
- 1578170221
- Entity type
- Organization
- NPI issued
- 28 Sep 2020
- Record last updated
- 16 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.