Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Lake Villa Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
37809 N IL ROUTE 59, LAKE VILLA, IL 60046-7332
(847) 245-4872
(847) 245-4873
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
03/17/2006
Last updated
10/10/2022
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