| Joseph Z. Pudlo, M.d., S.c. | |
|
6145 N Milwaukee Ave Chicago IL 60646-3804 | |
| (773) 631-2442 | |
| (773) 631-6530 |
| Full Name | Joseph Z. Pudlo, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6145 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Joseph Z Pudlo (PRESIDENT) |
| Authorized Official Contact | 7736312442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Z. Pudlo, M.d., S.c. 6145 N Milwaukee Ave Chicago IL 60646-3804 Ph: (773) 631-2442 | Joseph Z. Pudlo, M.d., S.c. 6145 N Milwaukee Ave Chicago IL 60646-3804 Ph: (773) 631-2442 |
| NPI Number | 1659631273 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659631273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036072100 (Illinois) | Primary |
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