Dudek, Daniel A

Dudek, Daniel A is an individual health care provider with primary practice located at 1830 Jarvis Ave , Elk Grove Village IL 60007-2440. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dudek, Daniel A can be contacted via phone (847) 364-9906.

Contact Information

Primary practice address
1830 Jarvis Ave Elk Grove Village IL 60007-2440
Phone: (847) 364-9906
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013677 Illinois

Profile Details

NPI number 1912024902
LBN Legal business name Dudek, Daniel A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 6th, 2020 - 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 1912024902 NPPES
Illinois Other 1619980 BCBS OF IL

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