Provider Demographics
NPI:1932360864
Name:CONSULTANTS IN KIDNEY DISEASE LLC
Entity Type:Organization
Organization Name:CONSULTANTS IN KIDNEY DISEASE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KESANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-328-5550
Mailing Address - Street 1:800 AUSTIN ST
Mailing Address - Street 2:SUITE 269, EAST TOWER
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3439
Mailing Address - Country:US
Mailing Address - Phone:847-328-5550
Mailing Address - Fax:847-328-5606
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:SUITE 269, EAST TOWER
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3439
Practice Address - Country:US
Practice Address - Phone:847-328-5550
Practice Address - Fax:847-328-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty