Organization · Type 2 NPI

Perryton Dialysis LLC

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

NPI number 1730725904 Active

Practice location

8604 Woodward Ave
Woodridge, IL 60517-3171

Call (331) 260-9226 Map

Fax (331) 260-9244

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: 1730725904
Entity type: Organization (Type 2)
Issued: Nov 22, 2019
Last updated: Oct 6, 2026
Status: Active

Other names

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Rutgers Park Dialysis · doing business as
Rutgers Park Dialysis · doing business as

Authorized official

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

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About NPI 1730725904

Perryton Dialysis LLC's National Provider Identifier is 1730725904, issued on Nov 22, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Woodridge, IL. The record was last updated on Oct 6, 2026.