Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kedzie Medical Clinic Inc

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1558593947

Kedzie Medical Clinic Inc is an Adolescent Medicine (Family Medicine) Physician in Chicago, Illinois. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

262 N Kedzie Ave
Chicago, IL 60612-1869
Phone: (847) 904-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0000X

Record details

NPI number1558593947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gohar Akopyan — Cmm · (847) 904-7500
NPI enumeratedAugust 18, 2009
Last updated in NPPESAugust 18, 2009
Mailing address262 N Kedzie Ave, Chicago, IL 60612-1869

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