NPIMap

Organization Active NPI

Polish American Association

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1326226077
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A08000001A Issued in IL
Legal business name
POLISH AMERICAN ASSOCIATION
Practice address
3834 N Cicero Ave
Chicago, IL 60641-3622
Phone
(773) 282-8206
Fax
(773) 282-1324
NPI assigned
Feb 5, 2008
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Dr. Kinga B Kosmala
Title
Executive Director
Phone
(774) 427-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A08000001A IL Primary

Addresses

Primary practice location

3834 N Cicero Ave
Chicago, IL 60641-3622

Mailing address

3834 N Cicero Ave
Chicago, IL 60641-3622
Phone (773) 282-8206

Other names 1

  • Polish Welfare Association Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Polish American Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1326226077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413622",
            "telephone_number": "773-282-8206",
            "fax_number": "773-282-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413622",
            "telephone_number": "773-282-8206",
            "fax_number": "773-282-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH AMERICAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "KOSMALA",
        "authorized_official_first_name": "KINGA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "774-427-6304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A08000001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polish Welfare Association",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Polish Welfare Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.