Active NPI
Jadwiga Roguska-Kyts MD SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1619005725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036038924
- Legal business name
- JADWIGA ROGUSKA-KYTS MD SC
- Practice address
- 201 E Huron St
Ste 11 205
Chicago, IL 60611 - Phone
- (312) 926-3626
- Fax
- (312) 926-3672
- NPI assigned
- Mar 1, 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
- Jadwiga Roguska-Kyts, MD
- Title
- Owner
- Phone
- (312) 926-3626
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036038924 | IL | Primary |
| Nephrology Physician | 207RN0300X | 036038924 | IL |
Addresses
Primary practice location
201 E Huron St
Ste 11 205
Chicago, IL 60611
Mailing address
201 E Huron St
Ste 11 205
Chicago, IL 60611
Phone (312) 926-3626
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004030051 | Other | IL | AETNA |
| 21600947 | Other | IL | BCBS |
| 036038924 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
201 E Huron St
Ste 11205
Chicago, IL 60611
Phone (312) 926-3626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314316800000",
"number": "1619005725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E HURON ST",
"address_2": "STE 11 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-3626",
"fax_number": "312-926-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E HURON ST",
"address_2": "STE 11 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-3626",
"fax_number": "312-926-3672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JADWIGA ROGUSKA-KYTS MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2011-08-26",
"status": "A",
"authorized_official_last_name": "ROGUSKA-KYTS",
"authorized_official_first_name": "JADWIGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-926-3626",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036038924",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036038924",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004030051",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21600947",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036038924",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.