Organization
RENAL TREATMENT CENTERS-ILLINOIS INC.
Active
Other names
East Dearborn 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
13200 W WARREN AVE, DEARBORN, MI 48126-2410
(313) 582-0131
(313) 582-0881
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164743845
—
MI
Enumeration date
06/17/2010
Last updated
02/28/2022
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