OrganizationActive
Dialysis at Home
NPI 1265823918 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1265823918
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shahida Khan, Owner
Mailing address
11638 S Western Ave
Chicago, IL 60643-4730
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2015-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.