CHILDRENS KIDNEY SPECIALISTS SC NPI 1134316680

NPI Information

  • NPI: 1134316680
  • Provider Name: CHILDRENS KIDNEY SPECIALISTS SC
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Organization
  • Address: 1954 1ST ST
    SUITE 200
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 433-3345

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NPI Details

CHILDRENS KIDNEY SPECIALISTS SC is a pediatric nephrology pediatrics in Highland Park, IL. The provider is 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. CHILDRENS KIDNEY SPECIALISTS SC NPI is 1134316680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1954 1ST ST
SUITE 200
HIGHLAND PARK, IL
ZIP 60035-104
Phone: (847) 433-3345
Fax: (847) 433-4426

The provider's authorized official is Ronald J Kallen .
The authorized official title is President Owner and has the following contact phone number (847) 433-3345.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 1/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0210XPediatricsPediatric NephrologyILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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