Kedzie Medical Clinic Inc

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

KEDZIE MEDICAL CLINIC INC

Practice address

262 N Kedzie Ave
Chicago, IL 60612-1869

Phone

(847) 904-7500

NPI assigned

Aug 18, 2009

Last updated

Aug 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gohar Akopyan

Title

CMM

Phone

(847) 904-7500

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon M Huddleston, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1164417473
  NPD (past)
• Damien J McKnight, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1871688853
  NPD (past)
• Bruce Sylvester Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Streator, IL
  • NPI 1063437150
  NPD (past)
• Aleksandr Goldvekht, MD

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1700807807
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1558593947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121869",
            "telephone_number": "847-904-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDZIE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "AKOPYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CMM",
        "authorized_official_telephone_number": "847-904-7500"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A. Kecskes, M.D.
• Kedzie 47 Dental LLC (Kedzie47 Dental)
• Kedzie Dental Clinic
• Kedzie Dentistry LLC
• Kedzie Drugs Inc
• Anna Kedzierska
• Alla Kedzierski
• Cezary S. Kedzierzawski
• Malgorzata Kedzior, DDS
• Emily Kee, MS RDN CD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.