Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Eagan, MN

NPI number 1457315939 Active

Practice location

2750 Blue Water Rd Ste 300
Eagan, MN 55121-1773

Call (651) 688-0132 Map

Fax (651) 688-0905

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...

NPI record

NPI: 1457315939
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Aug 2, 2022
Status: Active

Other names

<unavail>
Eagan Dialysis Unit · doing business as
Eagan Dialysis Unit · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1457315939

Renal Treatment Centers-Illinois Inc's National Provider Identifier is 1457315939, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Eagan, MN. The record was last updated on Aug 2, 2022.