Dudley, Catherine M

Dudley, Catherine M is an individual health care provider with primary practice located at 4100 Healthway Dr , Aurora IL 60504-4163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Dudley, Catherine M can be contacted via phone (630) 851-3105.

Contact Information

Primary practice address
4100 Healthway Dr Aurora IL 60504-4163
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-074033 Illinois

Profile Details

NPI number 1912923095
LBN Legal business name Dudley, Catherine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 31st, 2021 - about 3 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 1912923095 NPPES
Illinois MEDICAID 036074033

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