| Organization Name: | JOLIET DIALYSIS HOLDINGS |
| NPI Number: | 1114290475 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZDZISLAWA TERESA MAJKA-KRAVETS (CEO) |
| Mailing Address: | 368 S. Weber Road Romeoville |
| State: | IL US |
| Postal Code: | 60446 |
| Phone Number: | 8152540283 |
| Fax Number: | 8152541397 |
| NPI Enumeration Date: | 02/17/2012 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |