Nephrology Consultants LLC

Organization Active NPI Nephrology Physician · South Barrington, IL

NPI 1346019676 · NPPES record last updated Mar 6, 2026

Key facts

NPI
1346019676
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 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
Organization subpart
No

Authorized official

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RN0300X Yes

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

Other providers in South Barrington, IL

All providers in South Barrington, IL · Nephrology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.