LEE ANTHONY DUDLEY (NPI# 1215960026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215960026 |
| Entity Type | Individual |
| Full Name | LEE ANTHONY DUDLEY |
| Credential | DO |
| Practice Address |
5113 S Harper Ave Ste 2c Chicago IL 60615 |
| Mailing Address |
5113 S Harper Ave Ste 2c Chicago IL 60615-4119 |
| Practice Telephone | 7739831635 |
| Mailing Telephone | 7739831635 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | DO0000001892 | TN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2010025333 | MO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 336.091115 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 34008088 | OH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 057958 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | H0064685 | MD | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | DOS-1111 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 Highlands Plaza Dr E, Apt 108, Saint Louis, MO 631101348 | 9372861148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477894160 | Lee Elizabeth Dudley | Counselor | 36355 County Road 13, Elizabeth, CO 80107-8202 | 2013-03-06 |
| Street Address |
5113 S HARPER AVE STE 2C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830298 | A Beautiful Mind, Inc | Clinic/Center | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-10-29 |
| 1164035291 | Elisabeth Lemasters | Social Worker | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-08-28 |
| 1134732415 | Sweet Homes Health Care, LLC. | Home Health | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-08-26 |
| 1801405501 | Briana Bell | Counselor | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-07-28 |
| 1962026625 | Edwina Rochelle Morgan | Nurse Practitioner | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-05-28 |
| 1508490418 | Edwinner T Joyner | Home Health Aide | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-02-29 |
| 1154970291 | Thrive Psychological Services LLC | Counselor | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-09-11 |
| 1669030672 | Desiree Anne Wilkinson | Psychologist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-06-04 |
| 1164986709 | Aishia Marie Pearson | Massage Therapist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-01-28 |
| 1639641020 | Melissa Angelina O'sha | Psychologist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2018-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| 1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.