# CHILDRENS KIDNEY SPECIALISTS SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134316680
- **Authorized official:** DR. RONALD J KALLEN M.D. (PRESIDENT OWNER)
- **Authorized official phone:** (847) 433-3345

## Contact information

- **Practice address:** 1954 1ST ST, SUITE 200, HIGHLAND PARK, IL 60035-3104
- **Practice address phone:** (847) 433-3345
- **Practice address fax:** (847) 433-4426
- **Mailing address:** 777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
- **Mailing address phone:** (630) 789-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 01/22/2008