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Organization
NEPHROLOGY CONSULTANTS LLC
Active
Organization
NEPHROLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BOUCKENOOGHE (BILLING AND CREDENTIALING)
(727) 207-7070
Entity
Organization
Contact information
Practice address
33 W HIGGINS RD STE 4100, SOUTH BARRINGTON, IL 60010-9123
(847) 863-0546
Mailing address
825 S WAUKEGAN RD STE A8, LAKE FOREST, IL 60045-2665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
03/06/2026
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