Ondrej Chudoba, M.D., S.C.

LBN: Ondrej Chudoba, M.D., S.C.
Ondrej Chudoba, M.D., S.C. is an health care organization with primary practice located at 11317 Smith Dr 11924 Oak Creek Parkway, Huntley IL 60142-9602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Ondrej Chudoba, M.D., S.C. can be contacted via phone (847) 515-8131, or through Chudoba, Ondrej via phone (630) 415-3087.

Contact Information

Primary practice address
11317 Smith Dr 11924 Oak Creek Parkway Huntley IL 60142-9602
Fax: (847) 515-8142
Website:
Authorized official contact:
Name: Chudoba, Ondrej Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1154498533
LBN Legal business name Ondrej Chudoba, M.D., S.C.
DBA Doing business as
Authorized official Chudoba, Ondrej Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154498533 NPPES
Illinois Other 1627496 BLUE CROSS BLUE SHIELD

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