Organization
TOTAL RENAL CARE INC
Active
Other names
West Side 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
1600 W 13TH ST STE 3, CHICAGO, IL 60608-1306
(312) 243-9286
(312) 733-2466
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
10/10/2024
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