MARY DUDEK


Address: 2645 W. Lawrence Ave., Chicago, IL 60625
Phone: 7732751680

MARY DUDEK (NPI# 1831257534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831257534
Entity Type Individual
Full Name MARY DUDEK
Credential P.A.
Practice Address 2645 W. Lawrence Ave.
Chicago
IL 60625
Practice Telephone 7732751680
Practice Fax Number 7732751681
Mailing Telephone 7732751680
Mailing Fax Number 7732751681
Enumeration Date 2006-12-05
Last Update Date 2011-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085-000753 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 085-000753 01

Office Location

Street Address 2645 W. LAWRENCE AVE.
City CHICAGO
State IL
Zip Code 60625

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1700490448 Anita Saini Pharmacist 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 2020-09-01
1699303164 Marina Karamanis Student in an Organized Health Care Education/Training Program Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 2020-03-31
1063050227 Jacqueline Guadalupe Saldana Behavioral Analyst 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 2019-12-18
1912557802 Six Senses Therapy LLC Social Worker 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 2019-09-13
1982266110 Noreen Randhawa Family Medicine Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 2019-07-09
1376102202 Nita Gupta Student in an Organized Health Care Education/Training Program Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 2019-06-13
1841763471 Alexandra Taskier Counselor 5359 N Bowmanville Ave., Chicago, IL 60625 2019-01-07
1013490143 Paula Bielnicka Pharmacist Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 2018-09-14
1902397078 Rebecca Abraham Hospitalist 5145 N California Ave Ofc M331, Chicago, IL 60625 2018-05-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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Competitor

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City CHICAGO
Zip Code 60625

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Dataset Information

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.

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