OrganizationActive
Renal Treatment Centers-Illinois Inc
NPI 1962466441 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Eden Prairie, MN
Provider details
- NPI number
- 1962466441
- 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
14852 Scenic Heights Rd Ste 255
Bldg B
Eden Prairie, MN 55344-2320
Phone: (952) 934-2411
Fax: (952) 934-3851
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.