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Organization

RENAL TREATMENT CENTERS-ILLINOIS INC

Active
Other names
Sauget 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
2061 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-7801
(618) 332-7815
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569

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
=========
IL
Enumeration date
04/21/2006
Last updated
08/07/2025
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