OrganizationActive
Renal Treatment Centers-Illinois Inc
NPI 1003883752 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harlan, IA
Provider details
- NPI number
- 1003883752
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
2802 12th St
Harlan, IA 51537-2303
Phone: (319) 472-7235
Fax: (319) 472-7236
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.