Individual provider · Type 1 NPI
Sofia Kagan
Nurse Practitioner · Chicago, IL
Practice location
3134 N Clark St
Chicago, IL 60657-4414
Fax (312) 766-4908
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 520 S Maple Ave, Oak Park, IL 60304-1022 · (708) 383-9300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.496587 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209-036047 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053256149
Sofia Kagan's National Provider Identifier is 1053256149, issued on Apr 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 30, 2026.