Ronald J Kallen
Pediatric Nephrologist
2300 N Childrens Plz
Chicago
, Illinois 60614-3363
Ronald J Kallen
Pediatric Nephrologist
2300 N Childrens Plz
Chicago
, Illinois 60614-3363
(847) 433-4426
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Ronald J Kallen
- 353 Lakeside Pl
- Highland Park, IL
- Zip : 60035-5371
- Fax : (847) 433-4426
- Phone : (847) 433-3345
Second Address
- Ronald J Kallen
- 2300 N Childrens Plz
- Chicago, IL
- Zip : 60614-3363
- Fax : (847) 433-4426
- Phone : (847) 433-3345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 03643026 | IL |
National Provider Identifier
| NPI | 1245283647 |
|---|---|
| Provider Name | Ronald J Kallen |
| First Address | Highland Park, IL 60035-5371 |
| Second Address | Chicago, IL 60614-3363 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 13/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036043026 | (05) | IL |
| A75508 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.