Childrens Kidney Specialists SC

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

Legal business name

CHILDRENS KIDNEY SPECIALISTS SC

Practice address

1954 1St St
Suite 200
Highland Park, IL 60035-3104

Phone

(847) 433-3345

Fax

(847) 433-4426

NPI assigned

Sep 28, 2007

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Kallen, M.D.NPI 1245283647

Title

President Owner

Phone

(847) 433-3345

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald J Kallen, MD

  • Pediatric Nephrology Physician
  • Chicago, IL
  • NPI 1245283647
  Authorized official Same address or phone

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1134316680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 1ST ST",
            "address_2": "SUITE 200",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353104",
            "telephone_number": "847-433-3345",
            "fax_number": "847-433-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS KIDNEY SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KALLEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "847-433-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianjie Chen, PHARMD
• Christopher Michael Chiarella, LCPC
• Chicago Cornea Consultants LTD
• Chicago Cornea Consultants LTD
• Chicago Sport and Wellness
• Chiropractic Centre of Highland Park, Inc
• Janet R Choi, MD
• Lann J Choi, PHARM.D.
• Fotis Christacos, DPT
• Mary Chronowski, OTR/L

• Pediatric Nephrology Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Pediatric Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.