Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Kankakee County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
581 WILLIAM R LATHAM SR DR STE 104, BOURBONNAIS, IL 60914-2439
(815) 936-3088
(815) 936-3756
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
12/15/2006
Last updated
03/07/2023
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