Charles E Kaegi MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036055737 Issued in IL

Legal business name

CHARLES E KAEGI MD SC

Practice address

508 North Prospect Avenue
Park Ridge, IL 60068

Phone

(773) 282-4387

Fax

(888) 959-9074

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward Kaegi Jr., MDNPI 1528058567

Title

President

Phone

(773) 282-4387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Edward Kaegi Jr., MD

  • Psychiatry Physician
  • Park Ridge, IL
  • NPI 1528058567
  Medicare reassignment NPD Authorized official
• Neal Richard Florence, MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1477532232
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1780760819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NORTH PROSPECT AVENUE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "773-282-4387",
            "fax_number": "888-959-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NORTH PROSPECT AVENUE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "773-282-4387",
            "fax_number": "888-959-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E KAEGI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "KAEGI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-282-4387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036055737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savinder Singh Chadha, MD
• Christina S Chae, M.D.
• Granvia Chan
• Jan D Chang, MD
• Priscilla Pauline Chang, DDS
• Jill Chasanov, R.N.
• Nicole Chase
• Gaurav Chaturvedi, MD
• Hamad M Chaudhary, M.D.
• Adib Chaus, MD

• Psychiatry Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.