Renal Life Link INC
NPI #1588633812 in Belleville, Illinois
Provider Information
- NPI Number
- 1588633812
- Entity Type
- Organization
- Organization Name
- Renal Life Link INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 17, 2006
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 5105 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-4728
- Phone
- (618) 233-9018
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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