| Pawel S. Dudek, M.d., S.c. | |
|
4250 N Marine Dr Suite 236 Chicago IL 60613-1744 | |
| (773) 404-0160 | |
| (773) 404-9876 |
| Full Name | Pawel S. Dudek, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4250 N Marine Dr, Chicago, Illinois |
| Authorized Official Name and Position | Pawel Stanislaw Dudek (BOARD CERTIFIED PSYCHIATRIST) |
| Authorized Official Contact | 7739096269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pawel S. Dudek, M.d., S.c. 4840 N Marine Dr Chicago IL 60640-7860 Ph: (773) 654-1645 | Pawel S. Dudek, M.d., S.c. 4250 N Marine Dr Suite 236 Chicago IL 60613-1744 Ph: (773) 404-0160 |
| NPI Number | 1306056734 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306056734 | NPI | - | NPPES |
| 036096327 | Medicaid | IL | |
| 401806 | Other | IL | HARMONY |
| 01635497 | Other | IL | BLUE CROSS BLUE SHIELD |
| 2017926 | Other | IL | CIGNA |
| 404206 | Other | IL | VALUE OPTIONS |
| 180759 | Other | IL | COMPSYCH |
| 415428 | Other | IL | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036096327 (Illinois) | Primary |
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