Renal Treatment Centers-Illinois Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1962466441

Renal Treatment Centers-Illinois Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Eden Prairie, Minnesota. Registered with an NPI since 2006.

In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

14852 Scenic Heights Rd Ste 255 Bldg B
Eden Prairie, MN 55344-2320
Phone: (952) 934-2411
Fax: (952) 934-3851

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1962466441
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names	Eden Prairie Dialysis; Eden Prairie Dialysis
NPI enumerated	April 13, 2006
Last updated in NPPES	September 15, 2025
Certification date	September 15, 2025
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

George Thomas O'Bryan, MD Nephrology Physician · Edina, MN
Dr. Abel Ernesto Tello Jr., MD Internal Medicine Physician · St Louis Park, MN