Organization · Type 2 NPI

Isd Renal Inc

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

NPI number 1467478586 Active

Practice location

3470 W 183rd St
Hazel Crest, IL 60429-2428

Call (708) 799-3101 Map

Fax (708) 799-3320

Mailing address

5200 Virginia Way, Att: 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...

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NPI record

NPI: 1467478586
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Apr 27, 2026
Status: Active

Other names

<unavail>
Hazel Crest Renal Center · doing business as
Hazel Crest Renal Center · doing business as

Authorized official

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

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About NPI 1467478586

Isd Renal Inc's National Provider Identifier is 1467478586, issued on Jul 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hazel Crest, IL. The record was last updated on Apr 27, 2026.