Active NPI
Resurrection Services
Doing business as Agnieszka Kania MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1568579472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RESURRECTION SERVICES
- Doing business as
- Agnieszka Kania MD
- Practice address
- 4341 N Milwaukee Ave
Chicago, IL 60641-1522 - Phone
- (773) 777-7464
- Fax
- (773) 777-7488
- NPI assigned
- Aug 24, 2006
- Last updated
- Oct 26, 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
- Len Dedic
- Title
- Vice President
- Phone
- (708) 583-6818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4341 N Milwaukee Ave
Chicago, IL 60641-1522
Mailing address
4341 N Milwaukee Ave
Chicago, IL 60641-1522
Phone (773) 777-7464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214580 | Other | MEDICARE GROUP |
Other names 1
- AGNIESZKA KANIA MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1568579472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411522",
"telephone_number": "773-777-7464",
"fax_number": "773-777-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411522",
"telephone_number": "773-777-7464",
"fax_number": "773-777-7488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESURRECTION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "DEDIC",
"authorized_official_first_name": "LEN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "708-583-6818"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "214580",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AGNIESZKA KANIA MD",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Resurrection Services (RMG Little Village Primary Care)
- Resurrection Services (RMG St Joseph Hospital Ed)
- Resurrection Services (RMG Olr OB/GYN)
- Resurrection Services (RMG Mario Salazar)
- Resurrection Services (Max Pitlosh, MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.