RENAL TREATMENT CENTERS-ILLINOIS INC. NPI 1790162022

NPI Information

RENAL TREATMENT CENTERS-ILLINOIS INC. is an end-stage renal disease (esrd) treatment clinic center in Warren, MI. RENAL TREATMENT CENTERS-ILLINOIS INC. NPI is 1790162022. The provider is registered as an organization entity type.
The provider Is Doing Business As Macomb Kidney Center.

The provider's business location address is:

28295 SCHOENHERR RD
SUITE A
WARREN, MI
ZIP 48088-300
Phone: (586) 558-8160
Fax: (586) 558-8159

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 23D0893087 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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