1720095417 GREAT LAKES DIALYSIS, L.L.C.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
GREAT LAKES DIALYSIS, L.L.C.
Enumeration Date
August 2, 2006
Last Update
April 7, 2025
Authorized Official
MORUFU OLATUNJI ALAUSA MD
AUTHORIZED OFFICIAL / CMO
Phone: (815) 741-6830

Practice Location

Address
14614 KERCHEVAL ST
DETROIT, MI 482152814
Phone
(313) 308-4200
Fax
(313) 332-0334

Mailing Address

Address
PO BOX 428
LOCKPORT, IL 604416428
Phone
(815) 714-7170
Fax
(630) 672-4980

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
 261QE0700X Clinic/Center 4301072901 MI Primary

Other Identifiers

Identifier Type State Issuer
23D1011980 01 MI CLIA#

Frequently Asked Questions

What is GREAT LAKES DIALYSIS, L.L.C.'s NPI number?
GREAT LAKES DIALYSIS, L.L.C.'s NPI number is 1720095417.
Which doctor has NPI number 1720095417?
The doctor with NPI number 1720095417 is GREAT LAKES DIALYSIS, L.L.C..
What is GREAT LAKES DIALYSIS, L.L.C.'s practice address?
GREAT LAKES DIALYSIS, L.L.C.'s practice address is 14614 KERCHEVAL ST, DETROIT, MI, 482152814.
Which doctor practices at 14614 KERCHEVAL ST, DETROIT, MI, 482152814?
GREAT LAKES DIALYSIS, L.L.C. practices at 14614 KERCHEVAL ST, DETROIT, MI, 482152814.
What is GREAT LAKES DIALYSIS, L.L.C.'s mailing address?
GREAT LAKES DIALYSIS, L.L.C.'s mailing address is PO BOX 428, LOCKPORT, IL, 604416428.
What is GREAT LAKES DIALYSIS, L.L.C.'s phone number?
GREAT LAKES DIALYSIS, L.L.C.'s phone number is (313) 308-4200.
Who is (313) 308-4200?
(313) 308-4200 is the phone number for GREAT LAKES DIALYSIS, L.L.C..
What is GREAT LAKES DIALYSIS, L.L.C.'s specialty?
GREAT LAKES DIALYSIS, L.L.C.'s specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is GREAT LAKES DIALYSIS, L.L.C.?
GREAT LAKES DIALYSIS, L.L.C. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is GREAT LAKES DIALYSIS, L.L.C. a End-Stage Renal Disease (ESRD) Treatment?
Yes, GREAT LAKES DIALYSIS, L.L.C. is a End-Stage Renal Disease (ESRD) Treatment.
Is GREAT LAKES DIALYSIS, L.L.C. still practicing?
Yes, GREAT LAKES DIALYSIS, L.L.C. is currently practicing.
Is GREAT LAKES DIALYSIS, L.L.C. accepting new patients?
GREAT LAKES DIALYSIS, L.L.C. may be accepting new patients. Please call their office at (313) 308-4200 to inquire about availability.
Is NPI 1720095417 still active?
Yes, NPI 1720095417 is currently active.
Where does GREAT LAKES DIALYSIS, L.L.C. practice?
GREAT LAKES DIALYSIS, L.L.C. practices in DETROIT, MI.