Active NPI
Dr. Kania Family Care, S.C.
- Family Medicine Physician
- Mount Prospect, IL
National Provider Identifier
1063609527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DR. KANIA FAMILY CARE, S.C.
- Practice address
- 770 E Northwest Hwy
Mount Prospect, IL 60056-3464 - Phone
- (708) 655-5099
- Fax
- (708) 865-7099
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agnieszka Kania, M.D.
- Title
- Physician /Owner
- Phone
- (708) 655-5099
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
770 E Northwest Hwy
Mount Prospect, IL 60056-3464
Mailing address
8650 Palmer St
River Grove, IL 60171-1908
Phone (708) 655-5099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03611597 | Other | IL | IL LICENSE /CERTIFICATION |
| 215294 | Other | IL | MEDICARE GROUP |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Kania Family Care SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Mount Prospect, IL
- NPI 1134309370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Park Ridge, IL
- NPI 1083630388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1063609527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 PALMER ST",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "601711908",
"telephone_number": "708-655-5099",
"fax_number": "708-865-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 E NORTHWEST HWY",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563464",
"telephone_number": "708-655-5099",
"fax_number": "708-865-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. KANIA FAMILY CARE, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-28",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "KANIA",
"authorized_official_first_name": "AGNIESZKA",
"authorized_official_title_or_position": "PHYSICIAN /OWNER",
"authorized_official_telephone_number": "708-655-5099",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE /CERTIFICATION",
"identifier": "03611597",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "215294",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.