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PAWEL S. DUDEK M.D. S.C. NPI 1306056734


NPI Information

NPI: 1306056734
Provider Name: PAWEL S. DUDEK, M.D., S.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4250 N MARINE DR
SUITE 236
CHICAGO, IL
ZIP 60613
Phone: (773) 404-0160
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PAWEL S. DUDEK, M.D., S.C. is a psychiatry psychiatry neurology in Chicago, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PAWEL S. DUDEK, M.D., S.C. NPI is 1306056734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4250 N MARINE DR
SUITE 236
CHICAGO, IL
ZIP 60613-744
Phone: (773) 404-0160
Fax: (773) 404-9876

The provider's authorized official is Pawel Stanislaw Dudek .
The authorized official title is Board Certified Psychiatrist and has the following contact phone number (773) 909-6269.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/24/2010.


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
12084P0800XPsychiatry & NeurologyPsychiatry036096327ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1404206OTHERILLINOISVALUE OPTIONS
2G59398MEDICARE UPINILLINOIS
3036096327MEDICAIDILLINOIS
4212390MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5401806OTHERILLINOISHARMONY
6=========OTHERILLINOISTAX ID
7180759OTHERILLINOISCOMPSYCH
8415428OTHERILLINOISMHN
901635497OTHERILLINOISBLUE CROSS BLUE SHIELD
102017926OTHERILLINOISCIGNA

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

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