NPI 1598774929

Dialysis of Northern Illinois LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Monroe, WI

Practice location

Address: 114 8th St, Monroe, WI 53566-1050
Phone: (608) 325-3585
Fax: (608) 325-3981
Mailing address: 5200 Virginia Way 4th Floor L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Thomas O Usilton
Title: Sr Vice President
Phone: (770) 541-7922

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1598774929
Entity type: Organization
NPI issued: 5 Aug 2006
Record last updated: 19 Oct 2009

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.