Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primecare Nephrology & Hypertension SC Corp

Organization Nephrology Physician · NPI 1952656167

Primecare Nephrology & Hypertension SC Corp is a Nephrology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4810 S Kenwood Ave
Chicago, IL 60615-2016
Phone: (708) 609-0197
Fax: (708) 338-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036086015 (IL)

Record details

NPI number1952656167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osvaldo Wagener — President · (708) 609-0197
NPI enumeratedJuly 13, 2012
Last updated in NPPESDecember 7, 2015
Mailing address4810 S Kenwood Ave, Chicago, IL 60615-2016

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