Organization Active NPI

Jadwiga Roguska-Kyts MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1619005725
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036038924 Issued in IL
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

Updated by the provider on Aug 26, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036038924 IL Primary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0004030051OtherILAETNA
21600947OtherILBCBS
036038924MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.