Dudiak, Christine
Dudiak, Christine is an individual health care provider with primary practice located at 2160 S 1St Ave Mcgaw Ent., Rm. 47, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dudiak, Christine can be contacted via phone (708) 216-5221.Contact Information
Primary practice address
2160 S 1St Ave Mcgaw Ent., Rm. 47
Maywood IL 60153
Phone: (708) 216-5221
Fax: (708) 216-0899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36068233 | Illinois |
Profile Details
| NPI number | 1033196910 |
|---|---|
| LBN Legal business name | Dudiak, Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Sep 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033196910 | NPPES |
| Illinois | MEDICAID | 36068233 |
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