| NPI | 1083630388 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-14 |
| Last Updated | 2025-03-19 |
| Mailing Address | 29373 Network Pl Chicago, IL 60673-1293 United States Phone: (847) 390-5900 📍 View Map |
| Primary Practice Address | 1875 Dempster St, 506 Park Ridge, IL 60068-1186 United States Phone: (847) 593-6600 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 036115977 | STATE LICENSURE |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | IL | 036115977 |
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About NPI 1083630388
Agnieszka Kania M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083630388. The primary specialty listed is Family Medicine. The provider is located in Park Ridge, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083630388?
NPI 1083630388 belongs to Agnieszka Kania M.D., a Family Medicine in Park Ridge, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083630388 active?
The current status of NPI 1083630388 in the NPPES registry is Active. The record was last updated on 2025-03-19.
What specialty is NPI 1083630388?
NPI 1083630388 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083630388?
You can verify NPI 1083630388 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083630388?
The primary practice address on file for NPI 1083630388 is 1875 Dempster St, Park Ridge, IL 60068-1186. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083630388 issued?
NPI 1083630388 was first issued (enumerated) on 2006-07-14. The NPPES record was last updated on 2025-03-19.
Practice Location Map
Agnieszka Kania is located at 1875 Dempster St, Park Ridge, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Agnieszka Kania. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083630388. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 036115977 | IL |