OrganizationActive
Axolotl, LLC
NPI 1609136019 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harrisburg, IL
Provider details
- NPI number
- 1609136019
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kevin Chen, Owner
Mailing address
1507 Gleneagle Dr
Marion, IL 62959-5231
Registry dates
- Enumerated
- 2012-05-18
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.