| NPI | 1134316680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J KALLEN President Owner 847-433-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036043026) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-01-22 |