Cudecki, John J

Cudecki, John J is an individual health care provider with primary practice located at 2850 S Wabash Ave Suite 106, Chicago IL 60616-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cudecki, John J can be contacted via phone (312) 842-4400.

Contact Information

Primary practice address
2850 S Wabash Ave Suite 106 Chicago IL 60616-2955
Phone: (312) 842-4400
Fax: (312) 842-4595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036080214 Illinois

Profile Details

NPI number 1053397851
LBN Legal business name Cudecki, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053397851 NPPES
Illinois MEDICAID 036080214
Illinois Other 01621679

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