Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Eaton 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
105 E WASHINGTON JACKSON RD, EATON, OH 45320-9789
(937) 456-1174
(937) 456-1945
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0895DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2817125
—
OH
Enumeration date
03/22/2007
Last updated
03/25/2026
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