Organization
PERRYTON DIALYSIS LLC
Active
Other names
Rutgers Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8604 WOODWARD AVE, WOODRIDGE, IL 60517-3171
(331) 260-9226
(331) 260-9244
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
Enumeration date
11/22/2019
Last updated
11/05/2025
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