# RENAL INTERVENTION CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639242506
- **Authorized official:** SAMER SADER (MEDICAL DIRECTOR)
- **Authorized official phone:** (309) 676-8123

## Contact information

- **Practice address:** 430 MAXINE DR, MORTON, IL 61550-2495
- **Practice address phone:** (309) 266-7600
- **Practice address fax:** (309) 266-7680
- **Mailing address:** 430 MAXINE DR, MORTON, IL 61550-2495
- **Mailing address phone:** (309) 266-7600
- **Mailing address fax:** (309) 676-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002728 | IL | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 07/07/2026