Organization · Type 2 NPI

Isd Renal Inc

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

NPI number 1689690893 Active

Practice location

1922 Dempster St
Evanston, IL 60202-1016

Call (847) 869-5336 Map

Fax (847) 869-5313

Mailing address

5200 Virginia Way, L&c Department
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: 1689690893
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Jan 24, 2025
Status: Active

Other names

<unavail>
Evanston Renal Center · doing business as
Evanston Renal Center · doing business as

Authorized official

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

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About NPI 1689690893

Isd Renal Inc's National Provider Identifier is 1689690893, 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 Evanston, IL. The record was last updated on Jan 24, 2025.