Villa Park Home Dialysis Llc

LBN: Villa Park Home Dialysis Llc
Villa Park Home Dialysis Llc is an health care organization with primary practice located at 1634 S Ardmore Ave , Villa Park IL 60181-3742. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Villa Park Home Dialysis Llc can be contacted via phone (630) 670-8824, or through Humayun, Wasay Ali via phone (630) 670-8824.

Contact Information

Primary practice address
1634 S Ardmore Ave Villa Park IL 60181-3742
Phone: (630) 670-8824
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Humayun, Wasay Ali Doctor of Medicine (MD)
Phone: (630) 670-8824

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1669762050
LBN Legal business name Villa Park Home Dialysis Llc
DBA Doing business as
Authorized official Humayun, Wasay Ali Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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