Organization
RENAL TREATMENT CENTERS-ILLINOIS INC.
Active
Other names
Middleburg Heights 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
7360 ENGLE RD, MIDDLEBURG HEIGHTS, OH 44130-3429
(440) 891-5645
(440) 891-5655
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
0345DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2531988
—
OH
Enumeration date
04/14/2006
Last updated
10/22/2025
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