Organization
TOTAL RENAL CARE INC
Active
Other names
Palos Park 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
13155 S LA GRANGE RD, ORLAND PARK, IL 60462-1162
(708) 923-0928
(708) 923-0945
Mailing address
5200 VIRGINIA WAY, 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
08/10/2011
Last updated
03/13/2025
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