Ronald J Kallen

MD | Pediatric Nephrology | Male

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Complete Profile:

Ronald J Kallen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Ronald J Kallen
Credential :	MD
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Ronald J Kallen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2300 N Childrens Plz Chicago, IL, 60614-3363 United States
Phone Number :	847-433-3345
Fax Number :	847-433-4426

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1245283647
NPI Entity Type :	Individual
First Enrolment Date :	18 May, 2006
Last Updated On :	13 Dec, 2010

Medicare Participation:

Ronald J Kallen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193747947
Medicare Enrollment ID :	I20051221000588
Primary Specialty :	Nephrology
Medical School :	State University Of New York At Buffalo School Of Medicine
Graduation Year :	1960
Accepts Medicare?	Yes. Ronald J Kallen accepts medicare insurance.

Group Practice Association:

Ronald J Kallen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ronald J Kallen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Central Dupage Physician Group	5890696231	1005	1800 N Main St Wheaton, IL - 601873112 Ph: 6309334800	Yes
Central Dupage Physician Group	5890696231	1005	25 N Winfield Rd Winfield, IL - 601901295	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ronald J Kallen are as mentioned. Primary taxonomy code for Ronald J Kallen, MD is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	03643026	IL

Legacy Identifiers:

Other legacy medical identifiers of Ronald J Kallen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036043026	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	353 Lakeside Pl Highland Park, IL, 60035-5371 United States
Phone Number :	847-433-3345
Fax Number :	847-433-4426

Business Location:

Patients can refer following map for directions to Ronald J Kallen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.