Kedzie Medical Associates,LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KEDZIE MEDICAL ASSOCIATES,LTD

Practice address

9760 S Kedzie Ave
Suite#2
Evergreen Park, IL 60805-3109

Phone

(708) 423-6800

Fax

(708) 423-0402

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By 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

Dr. Richard H Kyi, M.DNPI 1164585592

Title

Medical Director

Phone

(708) 423-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Richard Kyi, M.D

  • Pediatrics Physician
  • Orland Park, IL
  • NPI 1164585592
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710066436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SOUTH KEDZIE AVENUE",
            "address_2": "SUITE#2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-423-6800",
            "fax_number": "708-423-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE",
            "address_2": "SUITE#2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "708-423-6800",
            "fax_number": "708-423-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDZIE MEDICAL ASSOCIATES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KYI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-423-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Kassas, MD
• Kathy Abbott PSYD PC
• Bruce Terry Katz, O.D.
• Brenna Keaty, DPT
• Kedzie Medical Associates LTD
• Michelle Marie Keller
• Brian Lee Kelley, LCPC
• Leslie Kelly, FNP-BC
• Margaret Kelly, LCPC
• Richard D. Kern, M.D.

• Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.