Dudar, Irina O.

Dudar, Irina O. is an sole proprietor health care provider with primary practice located at 4656 W Touhy Ave , Lincolnwood IL 60712-1656. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Dudar, Irina O. can be contacted via phone (847) 972-2202.

Contact Information

Primary practice address
4656 W Touhy Ave Lincolnwood IL 60712-1656
Phone: (847) 972-2202
Fax: (847) 512-4353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036-107984 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036107984 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107984 Illinois

Profile Details

NPI number 1689600835
LBN Legal business name Dudar, Irina O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Aug 28th, 2008 - about 16 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 1689600835 NPPES
Illinois Other 01636513 BCBS
Illinois MEDICAID 036107984 BCBS

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