Kudelka, Anne Marie
Kudelka, Anne Marie is an sole proprietor health care provider with primary practice located at 233 E Erie St Suite 305, Chicago IL 60611-2926. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kudelka, Anne Marie can be contacted via phone (312) 846-6641.Contact Information
Primary practice address
233 E Erie St Suite 305
Chicago IL 60611-2926
Phone: (312) 846-6641
Fax: (312) 374-1123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036087780 | Illinois |
Profile Details
| NPI number | 1376503557 |
|---|---|
| LBN Legal business name | Kudelka, Anne Marie |
| Credentials | M.D., FACC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 17th, 2017 - about 8 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 | 1376503557 | NPPES |
| Illinois | MEDICAID | 036087780 |
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