Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Primecare Nephrology & Hypertension SC Corp

Organization Nephrology Physician · NPI 1952656167

Primecare Nephrology & Hypertension SC Corp provides Nephrology Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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