Jennifer Ann Dudak in Tinley Park - Physician Assistant
Jennifer Ann Dudak - NPI 1588764062
Jennifer Ann Dudak is a Physician Assistant in Tinley Park, Illinois. Jennifer Ann Dudak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Ann Dudak is 1588764062. The last update date is 2021-12-21.
Jennifer Ann Dudak's current location address is 18425 W Creek Dr Ste F, Tinley Park, Illinois. You can contact this provider via phone number 7084448300 and fax number 7084448301. The mailing address for Jennifer Ann Dudak is 18425 W Creek Dr Ste F, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ann Dudak |
|---|---|
| Address | 18425 W Creek Dr Ste F, Tinley Park, Illinois |
| Phone Number | 7084448300 |
| Fax Number | 7084448301 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1588764062 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 18425 W Creek Dr Ste F |
|---|---|
| City | Tinley Park |
| State | Illinois (IL) |
| Post Code | 604776768 |
| Phone Number | 7084448300 |
| Fax Number | 7084448301 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001954 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001954 | IL | LICENSE | |
| 1056683 | IL | CERTIFICATE NUMBER | |
| 50540914 | IL | GROUP TAX ID # | |
| P00382533/CK688 | IL | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Ann Dudak by the Centers for Medicare & Medicaid Services?
The Jennifer Ann Dudak has been issued the NPI (National Provider Identifier) 1588764062 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jennifer Ann Dudak is located?
The Jennifer Ann Dudak is situated at the following address: 18425 W Creek Dr Ste F, Tinley Park, IL, 604776768.
Could you kindly provide the complete physical address where Jennifer Ann Dudak's facilities are geographically located?
The facilities of Jennifer Ann Dudak are physically situated at the following location: 18425 W Creek Dr Ste F, Tinley Park, IL, 604776768.
On what date did the Centers for Medicare & Medicaid Services assign the 1588764062 to Jennifer Ann Dudak?
The Centers for Medicare & Medicaid Services assigned the 1588764062 to Jennifer Ann Dudak on 2006-09-24.
As of what date was the information regarding Jennifer Ann Dudak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Ann Dudak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-21.
NPI Number: 1245235415
Address: 421 S Best Ave, Walnutport, PA
NPI Number: 1871598045
Address: 421 S Best Ave, Walnutport, PA
NPI Number: 1588669758
Address: 421 S Best Ave, Walnutport, PA
NPI Number: 1467457630
Address: 421 S Best Ave, Walnutport, PA