NPI 1023589934

Renal Treatment Centers-Illinois INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Kankakee, IL

Practice location

Address: 455 W Court St STE 100, Kankakee, IL 60901-3692
Phone: (815) 932-5169
Fax: (815) 932-5189
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp, Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1023589934
Entity type: Organization
NPI issued: 17 Dec 2018
Record last updated: 30 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.