OrganizationActive
Renal Treatment Centers-Illinois Inc
NPI 1073675138 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bourbonnais, IL
Provider details
- NPI number
- 1073675138
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Winstel, Chief Accounting Officer(253) 733-4501
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
581 William R Latham Sr Dr Ste 104
Bourbonnais, IL 60914-2439
Phone: (815) 936-3088
Fax: (815) 936-3756
Street-level locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Kankakee County Dialysis
- Doing business as
- Kankakee County Dialysis
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2023-03-07
- Certified
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.