Renal Treatment Centers-Illinois INC

NPI #1235198235 in Rockford, Illinois

Provider Information

NPI Number: 1235198235
Entity Type: Organization
Organization Name: Renal Treatment Centers-Illinois INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 20, 2006
Last Updated: Jun 24, 2024

Practice Location

Address: 3339 N ROCKTON AVE
City: Rockford
State: Illinois
ZIP Code: 61103-2839
Phone: (815) 636-4493

Authorized Official

Name: SAMUEL WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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