Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Kankakee River Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
455 W COURT ST STE 100, KANKAKEE, IL 60901-3692
(815) 932-5169
(815) 932-5189
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
05/28/2024
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