Renal Treatment Centers Illinois INC

NPI #1689709594 in Salem, Indiana

Provider Information

NPI Number
1689709594
Entity Type
Organization
Organization Name
Renal Treatment Centers Illinois INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 22, 2007
Last Updated
Apr 22, 2008

Practice Location

Address
1201 N JIM DAY ROAD
Address 2
STE 103
City
Salem
State
Indiana
ZIP Code
47167
Phone
(812) 883-0207

Authorized Official

Name
THOMAS O USILTON JR.
Title
SR VICE PRESIDENT
Phone
(770) 541-7922

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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