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General NPI Number Information
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NPI Number | 1588042857
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Entity Type | Organization
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Legal Business Name | RENAL TREATMENT CENTERS-ILLINOIS INC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 450 N TELEGRAPH RD STE 600
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City | PONTIAC
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State | MI
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Zip | 48341-1037
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Country | US
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Telephone | 248-333-2230
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Fax | 248-333-9589
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Provider Business Mailing Address
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Address Line | 5200 VIRGINIA WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-7569
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Country | US
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Telephone | 615-320-4514
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Fax | 866-594-9961
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Authorized Official
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Title or Position | CHIEF ACCOUNTING OFFICER
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Name | JOHN D WINSTEL
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Credential |
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Telephone | 253-733-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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