Organization
CHILDRENS KIDNEY SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J KALLEN M.D. (PRESIDENT OWNER)
(847) 433-3345
Entity
Organization
Contact information
Practice address
1954 1ST ST, SUITE 200, HIGHLAND PARK, IL 60035-3104
(847) 433-3345
(847) 433-4426
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
IL
Other
Enumeration date
09/28/2007
Last updated
01/22/2008
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