CHILDRENS KIDNEY SPECIALISTS SC (NPI# 1134316680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134316680 |
| Entity Type | Organization |
| Organization Name | CHILDRENS KIDNEY SPECIALISTS SC |
| Practice Address |
1954 1st St Suite 200 Highland Park IL 60035-3104 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 8474333345 |
| Practice Fax Number | 8474334426 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DR. RONALD J KALLEN (PRESIDENT OWNER) |
| Authorized Official Telephone | 8474333345 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1954 1ST ST SUITE 200 |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548238975 | Richard A Cohn | Pediatrics | 9036 Sleeping Bear Rd, Skokie, IL 60076-1920 | 2006-03-10 |
| 1841277928 | Peter R Lewy | Pediatrics | 1144 Wilmette Ave, Wilmette, IL 60091-2604 | 2005-12-29 |
| 1528454642 | Vidhi Dalal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-04-15 |
| 1366720245 | Erin D Kim | Pediatrics | 9555 S 52nd Ave, Oak Lawn, IL 60453 | 2011-07-27 |
| 1346565470 | Priya Chandra | Pediatrics | 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | 2010-03-31 |
| 1801027057 | Shireen Hashmat | Pediatrics | 5841 S Maryland Ave, Mc 4063, Chicago, IL 60637-1447 | 2009-08-06 |
| 1841450681 | Delphine Robotham Nelson | Pediatrics | 225 E Chicago Ave, Ms #37, Chicago, IL 60611-2991 | 2008-06-16 |
| 1124287180 | Nephrology and Hypertension Consultants Sc | Pediatrics | 1480 Renaissance Dr, Suite 211, Park Ridge, IL 60068-1332 | 2008-06-05 |
| 1902071269 | Kavita S Hodgkins | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2008-04-28 |
| 1548434780 | Rachel Engen | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2008-04-18 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on CHILDRENS KIDNEY SPECIALISTS SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.