Organization Name: | ARA-SOUTH BARRINGTON DIALYSIS LLC |
NPI Number: | 1134164247 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. MCDONOUGH (COO) |
Mailing Address: | 33 W Higgins Rd Suites 920-945 South Barrington |
State: | IL US |
Postal Code: | 600109115 |
Phone Number: | 8477834700 |
Fax Number: | 8474288400 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |