Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc

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

NPI number 1982673166 Active

Practice location

3401 W 111th St
Chicago, IL 60655-3329

Call (773) 445-0558 Map

Fax (773) 445-0829

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: 1982673166
Entity type: Organization (Type 2)
Issued: Mar 17, 2006
Last updated: Jan 8, 2026
Status: Active

Other names

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MT Greenwood Dialysis · doing business as
MT Greenwood Dialysis · doing business as

Authorized official

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

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About NPI 1982673166

Renal Treatment Centers-Illinois Inc's National Provider Identifier is 1982673166, issued on Mar 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 8, 2026.