Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc

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

NPI number 1215134259 Active

Practice location

2102 Vadalabene Dr Ste B
Maryville, IL 62062-5632

Call (618) 288-1521 Map

Fax (618) 288-1759

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...

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

Renal Treatment Centers-Illinois IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Maryville, IL NPI 1952360869

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NPI record

NPI: 1215134259
Entity type: Organization (Type 2)
Issued: Jul 2, 2007
Last updated: Nov 21, 2024
Status: Active

Other names

<unavail>
Maryville Home Dialysis · doing business as
Maryville Home Dialysis · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215134259

Renal Treatment Centers-Illinois Inc's National Provider Identifier is 1215134259, issued on Jul 2, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Maryville, IL. The record was last updated on Nov 21, 2024.