Kidney Specialists of Kankakee LTD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY SPECIALISTS OF KANKAKEE LTD

Practice address

455 W Court St Ste 304
Kankakee, IL 60901-3694

Phone

(815) 933-4422

Fax

(815) 933-4446

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Hizon, M.D

Title

President

Phone

(815) 933-4422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1124153176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COURT ST STE 304",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013694",
            "telephone_number": "815-933-4422",
            "fax_number": "815-933-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W COURT ST STE 304",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013694",
            "telephone_number": "815-933-4422",
            "fax_number": "815-933-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS OF KANKAKEE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HIZON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-933-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Kelly, M.D.
• Regan Lane Kendregan, PA
• Sana H Khadri, DO
• Muhammad Affan Khalid
• Samrat Umesh Khanna, MD
• Dong Ouk Kim, M.D.
• Debbie A Kimberlin, RD
• Curtis Kime
• Matthew Kline, PHARMD
• Katherine Klocek

• Nephrology Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.