Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Freeport Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
1028 S KUNKLE BLVD, FREEPORT, IL 61032-6914
(815) 232-2477
(815) 233-0824
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 945-9961
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
02/12/2019
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