Organization
TOTAL RENAL CARE INC
Active
Other names
Lake County Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
565 LAKEVIEW PKWY STE 176, VERNON HILLS, IL 60061-1822
(847) 918-0592
(847) 549-1281
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
03/17/2006
Last updated
12/16/2024
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