Provider Demographics
NPI:1013331230
Name:AFFILIATED DIALYSIS CENTERS LLC
Entity Type:Organization
Organization Name:AFFILIATED DIALYSIS CENTERS LLC
Other - Org Name:AFFILIATED DIALYSIS OF OAK LAWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANLIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-942-1111
Mailing Address - Street 1:800 ROOSEVELT RD
Mailing Address - Street 2:STE E-320
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5839
Mailing Address - Country:US
Mailing Address - Phone:630-942-1111
Mailing Address - Fax:630-942-1112
Practice Address - Street 1:6815 W 95TH ST
Practice Address - Street 2:STE 102
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-7000
Practice Address - Country:US
Practice Address - Phone:630-942-1111
Practice Address - Fax:630-942-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment