Organization
RENAL TREATMENT CENTERS-ILLINOIS INC.
Active
Other names
Andover Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
488 S MAIN ST, ANDOVER, OH 44003-9602
(440) 293-6028
(440) 293-6219
Mailing address
5200 VIRGINIA WAY, L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
04/28/2022
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