MEDICARE: KIDNEY AND HYPERTENSION ASSOCIATES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1265511984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDNEY AND HYPERTENSION ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	713 SAINT JOSEPHS DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-2570
Country	:	US
Telephone Number	:	708-422-9771
Fax Number	:

Provider Business Practice Location Address
First Line	:	3913 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-1903
Country	:	US
Telephone Number	:	708-422-9771
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	ROSE WHITE
Credential	:
Telephone Number	:	815-462-9035

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	01/25/2012

Similar Medicare Providers

1124956388 — DR. CONSTANTINE ALEMIS DDS
Practice Location Address:

3929 W 95TH ST
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-493-4402
Practice Fax:

1699751156 — ELLEN M HENNECKE DO
Practice Location Address:

3927 W 95TH ST
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-952-4566
Practice Fax: 708-952-4568

1083670822 — RELIABLE HOME HEALTH CARE, INCORPORATED
Practice Location Address:

3929 W. 95TH STREET , SUITE C
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-229-2680
Practice Fax: 708-229-2682

1144421017 — RICHARD E ODONNELL DO SC
Practice Location Address:

3927 W 95TH ST
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-799-8440
Practice Fax:

1780885657 — ELLEN M HENNECKE DOSC
Practice Location Address:

3927 W 95TH ST
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-799-8440
Practice Fax:

1821973298 — 95TH DENTAL CARE PC
Practice Location Address:

3929 W 95TH ST
EVERGREEN PARK, IL
60805-1903

Practice Phone: 708-777-3929
Practice Fax:

Directions to “KIDNEY AND HYPERTENSION ASSOCIATES LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.