Renal Therapies LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

142624 Issued in IL

Legal business name

RENAL THERAPIES LLC

Practice address

410 S. Heinlein Dr.
Shelbyville, IL 62565

Phone

(217) 774-1527

Fax

(217) 774-1528

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven C Bucher

Title

Ceo

Phone

(309) 698-1800

Specialties & licenses 1

Addresses

Other names 1

• Shelbyville Community Dialysis Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1013029933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "STE E320",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-942-1111",
            "fax_number": "630-942-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S. HEINLEIN DR.",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "62565",
            "telephone_number": "217-774-1527",
            "fax_number": "217-774-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "BUCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-698-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "142624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelbyville Community Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharmacists Assoc of Shelby Co Inc
• Laura Ann Pieper
• Gabrielle Pierce
• Deborah Porter
• Corrin Reimer
• Leann Thiele Rhinehart, NP-C
• Kacey Riley, LCSW
• Kaitlin Riley, PTA
• Robert S Heckler DDS LTD
• Jesika Lynn Rogers, COTA/L

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.