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DR. LEE ANTHONY DUDLEY DO NPI 1215960026


NPI Information

NPI: 1215960026
Provider Name: DR. LEE ANTHONY DUDLEY, DO
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5113 S HARPER AVE STE 2C
CHICAGO, IL
ZIP 60615
Phone: (773) 983-1635
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DR. Lee Anthony Dudley, DO is an emergency medicine in Chicago, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Lee Anthony Dudley, DO NPI is 1215960026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5113 S HARPER AVE STE 2C
CHICAGO, IL
ZIP 60615
Phone: (773) 983-1635

The NPI 1215960026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineDOS-1111HAWAIINo
2207P00000XEmergency MedicineH0064685MARYLANDNo
3207P00000XEmergency Medicine057958GEORGIANo
4207P00000XEmergency Medicine2010025333MISSOURINo
5207P00000XEmergency Medicine036.129640ILLINOISYes
6207P00000XEmergency MedicineDO0000001892TENNESSEENo
7207P00000XEmergency MedicineDO034849DISTRICT OF COLUMBIANo
8207P00000XEmergency MedicineDO.1490ALABAMANo
9207P00000XEmergency Medicine2012-02286NORTH CAROLINANo
10207P00000XEmergency Medicine34008088OHIONo
11207P00000XEmergency MedicineQ5791TEXASNo
12207P00000XEmergency Medicine336.091115ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.