Organization
JADWIGA ROGUSKA-KYTS MD SC
Active
Organization
JADWIGA ROGUSKA-KYTS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADWIGA ROGUSKA-KYTS MD (OWNER)
(312) 926-3626
Entity
Organization
Contact information
Practice address
201 E HURON ST, STE 11 205, CHICAGO, IL 60611
(312) 926-3626
(312) 926-3672
Mailing address
201 E HURON ST, STE 11 205, CHICAGO, IL 60611
(312) 926-3626
(312) 926-3672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036038924
IL
207RN0300X
Nephrology Physician
036038924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004030051
AETNA
IL
05
—
036038924
—
IL
01
—
21600947
BCBS
IL
Enumeration date
03/01/2007
Last updated
08/26/2011
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