# JOSEPH Z. PUDLO, M.D. S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316206733
- **Authorized official:** JOSEPH ZBIGNIEW PUDLO M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (773) 631-2442

## Contact information

- **Practice address:** 6145 N. MILWAUKEE AVE, CHICAGO, IL 60646-3804
- **Practice address phone:** (773) 631-2442
- **Practice address fax:** (773) 631-6530
- **Mailing address:** 6145 N. MILWAUKEE AVE, CHICAGO, IL 60646-3804
- **Mailing address phone:** (773) 631-2442
- **Mailing address fax:** (773) 631-6530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-072100 | IL | Yes |

## Other

- **Enumeration date:** 05/04/2012
- **Last updated:** 05/15/2012