Organization Active NPI

Nephrology Consultants LLC

  • Nephrology Physician
  • South Barrington, IL
National Provider Identifier
1346019676
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY CONSULTANTS LLC
Practice address
33 W Higgins Rd Ste 4100
South Barrington, IL 60010-9123
Phone
(847) 863-0546
NPI assigned
Dec 28, 2023
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Julie Bouckenooghe
Title
Billing and Credentialing
Phone
(727) 207-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

33 W Higgins Rd Ste 4100
South Barrington, IL 60010-9123

Mailing address

825 S Waukegan Rd Ste A8
Lake Forest, IL 60045-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420000179 IL Part B Supplier - Clinic/Group Practice 1557837325 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL

National Provider Directory

National Provider Directory

Locations

825 S Waukegan Rd
Ste A8
Lake Forest, IL 60045
Phone (773) 960-2771

33 W Higgins Rd
Ste 4100
South Barrington, IL 60010
Phone (630) 615-0668

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1346019676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S WAUKEGAN RD STE A8",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD STE 4100",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109123",
            "telephone_number": "847-863-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "BOUCKENOOGHE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING",
        "authorized_official_telephone_number": "727-207-7070"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.