OrganizationActive
Direct Dialysis
NPI 1093821522 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Crestwood, IL
Provider details
- NPI number
- 1093821522
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Braun, Controller(847) 583-0100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
14255 Cicero Ave
Crestwood, IL 60445-2154
Phone: (708) 824-9200
Approximate (ZIP-level) locationGet directions
Mailing address
14255 Cicero Ave
Crestwood, IL 60445-2154
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.