Active NPI
Sofia Kagan
- Registered Nurse
- Oak Park, IL
National Provider Identifier
1053256149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.496587
- Practice address
- 520 S Maple Ave
Oak Park, IL 60304-1022 - Phone
- (708) 383-9300
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.496587 | IL | Primary |
Addresses
Primary practice location
520 S Maple Ave
Oak Park, IL 60304-1022
Mailing address
2152 W Cortez St Apt 3W
Chicago, IL 60622-4049
Phone (630) 991-0959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.496587 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1053256149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 W CORTEZ ST APT 3W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224049",
"telephone_number": "630-991-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041022",
"telephone_number": "708-383-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "SOFIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.496587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.