Agni Rebecca Kamberi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.070243 Issued in IL

Practice address

1030 W Chicago Ave
Chicago, IL 60642-5671

Phone

(312) 243-1574

NPI assigned

Mar 21, 2017

Last updated

Dec 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Agni Rebecca Vlahos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1235660325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GLENWOOD LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "600105863",
            "telephone_number": "866-944-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425671",
            "telephone_number": "312-243-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBERI",
        "first_name": "AGNI",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.070243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNI",
            "last_name": "VLAHOS",
            "middle_name": "REBECCA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medha Vivek Kamat, M.D.
• Preeta Kamat
• Beena Kamath-Rayne, MD, MPH
• Marielle Josephine Kamath, MD
• Kylie Kamba
• Kastriot Kamberi, DO
• Gayle L Kamberos, MA, CCC-SLP
• Kambiz Dowlat, M.D. LTD
• Adrienne Renee Kambouris, MD, PHD, MBA
• Harshad M Kamdar, D.D.S.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.