Andrzej M Dudas, DO | |
1221 E State St, Rockford, IL 61104-2231 | |
(815) 972-1000 | |
(815) 972-1086 |
Full Name | Andrzej M Dudas |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 1221 E State St, Rockford, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609037308 | NPI | - | NPPES |
036126851 | Other | IL | PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125-054982 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036-126851 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Illinois Hospital | Chicago, IL | Hospital |
Swedish American Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Immediate Care North Chicago Pllc | 8729064159 | 208 |
The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Physicians Immediate Care Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
Entity Name | Physicians Immediate Care North Chicago Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
Mailing Address | Practice Location Address |
---|---|
Andrzej M Dudas, DO 1221 E State St, Rockford, IL 61104-2231 Ph: (815) 972-1000 | Andrzej M Dudas, DO 1221 E State St, Rockford, IL 61104-2231 Ph: (815) 972-1000 |
Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300 | |
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807 | |
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091 | |
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600 | |
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000 |