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Dialyze Direct Il LLC — NPI 1124678529, Shelbyville, IL | NPI Central

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NPI 1124678529

OrganizationActive

Dialyze Direct Il LLC

NPI 1124678529 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Shelbyville, IL

Provider details

NPI number: 1124678529
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Joshua Rothenberg, Coo(732) 806-9990

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

410 S Heinlein Dr

Shelbyville, IL 62565-7800

Phone: (732) 806-9990

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

3297 State Route 66

Neptune, NJ 07753-2762

Other names (DBA / former)

Other name: Dialyze Direct Il - Shelbyville

Registry dates

Enumerated: 2019-09-17
Last updated: 2019-09-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.