Individual
RONALD J KALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(847) 433-3345
(847) 433-4426
Mailing address
353 LAKESIDE PL, HIGHLAND PARK, IL 60035-5371
(847) 433-3345
(847) 433-4426
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
03643026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043026
—
IL
Enumeration date
05/18/2006
Last updated
12/13/2010
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