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1689314916 NPI number — KASIA JOLANTA RAGANO DO, MA

NPI Number: 1689314916
Health Care Provider/Practitioner: KASIA JOLANTA RAGANO DO, MA

Information about “1689314916” NPI (KASIA JOLANTA RAGANO DO, MA) exists in 1689314916 in HTML format HTML  |  1689314916 in plain Text format TXT  |  1689314916 in PDF (Portable Document Format) PDF  |  1689314916 in an XML format XML  formats.

NPI Number : 1689314916 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689314916",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAGANO",
    "FirstName": "KASIA",
    "MiddleName": "JOLANTA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO, MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1064 N MILWAUKEE AVE APT 2W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60642-4052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-935-1715",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "796 ROYAL SAINT GEORGE DR STE 108",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPERVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60563-7901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-646-5930",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2022",
    "LastUpdateDate": "08/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "125080965",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "036176080",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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