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Organization
RENAL INTERVENTION CENTER, PLLC
Active
Organization
RENAL INTERVENTION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER SADER (MEDICAL DIRECTOR)
(309) 676-8123
Entity
Organization
Contact information
Practice address
430 MAXINE DR, MORTON, IL 61550-2495
(309) 266-7600
(309) 266-7680
Mailing address
430 MAXINE DR, MORTON, IL 61550-2495
(309) 266-7600
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002728
IL
Other
Enumeration date
11/16/2006
Last updated
07/07/2026
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