Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kankakee, IL

NPI number 1023589934 Active

Practice location

455 W Court St Ste 100
Kankakee, IL 60901-3692

Call (815) 932-5169 Map

Fax (815) 932-5189

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Elizabeth Anne Voogt, MA, RD, LDNRegistered Dietitian Kankakee, IL NPI 1982146445

Other end-stage renal disease (esrd) treatment clinic/center providers in Kankakee

Presence Central and Suburban Hospitals NetworkEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Kankakee, IL NPI 1336299544

See all in Kankakee →

NPI record

NPI: 1023589934
Entity type: Organization (Type 2)
Issued: Dec 17, 2018
Last updated: Jun 30, 2026
Status: Active

Other names

<unavail>
Kankakee River Dialysis · doing business as
Kankakee River Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1023589934

Renal Treatment Centers-Illinois Inc's National Provider Identifier is 1023589934, issued on Dec 17, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kankakee, IL. The record was last updated on Jun 30, 2026.