| Ondrej Chudoba, M.d., S.c. | |
|
11317 Smith Dr 11924 Oak Creek Parkway Huntley IL 60142-9602 | |
| (847) 515-8131 | |
| (847) 515-8142 |
| Full Name | Ondrej Chudoba, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11317 Smith Dr, Huntley, Illinois |
| Authorized Official Name and Position | Ondrej Chudoba (PRESIDENT) |
| Authorized Official Contact | 6304153087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ondrej Chudoba, M.d., S.c. 11317 Smith Dr 11924 Oak Creek Parkway Huntley IL 60142-9602 Ph: (847) 515-8131 | Ondrej Chudoba, M.d., S.c. 11317 Smith Dr 11924 Oak Creek Parkway Huntley IL 60142-9602 Ph: (847) 515-8131 |
| NPI Number | 1154498533 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154498533 | NPI | - | NPPES |
| 1627496 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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