Provider Demographics
NPI:1689314916
Name:RAGANO, KASIA JOLANTA (DO, MA)
Entity type:Individual
Prefix:DR
First Name:KASIA
Middle Name:JOLANTA
Last Name:RAGANO
Suffix:
Gender:F
Credentials:DO, MA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 N MILWAUKEE AVE APT 2W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-4052
Mailing Address - Country:US
Mailing Address - Phone:630-935-1715
Mailing Address - Fax:
Practice Address - Street 1:796 ROYAL SAINT GEORGE DR STE 108
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-7901
Practice Address - Country:US
Practice Address - Phone:630-646-5930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125080965207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine