Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Perry Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
610 10TH ST STE L100, PERRY, IA 50220
(515) 465-2657
(515) 465-2874
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0625368
—
IA
Enumeration date
10/02/2006
Last updated
06/17/2020
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