| Jadwiga Roguska-kyts Md Sc | |
|
201 E Huron St Ste 11 205 Chicago IL 60611 | |
| (312) 926-3626 | |
| (312) 926-3672 |
| Full Name | Jadwiga Roguska-kyts Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 E Huron St, Chicago, Illinois |
| Authorized Official Name and Position | Jadwiga Roguska-kyts (OWNER) |
| Authorized Official Contact | 3129263626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jadwiga Roguska-kyts Md Sc 201 E Huron St Ste 11 205 Chicago IL 60611 Ph: (312) 926-3626 | Jadwiga Roguska-kyts Md Sc 201 E Huron St Ste 11 205 Chicago IL 60611 Ph: (312) 926-3626 |
| NPI Number | 1619005725 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619005725 | NPI | - | NPPES |
| 0004030051 | Other | IL | AETNA |
| 21600947 | Other | IL | BCBS |
| 036038924 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036038924 (Illinois) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 036038924 (Illinois) | Secondary |
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