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Organization
HUDSON MEDICAL CENTER LTD
Active
Organization
HUDSON MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELINA HUDSON MD (PRESIDENT)
(708) 788-1005
Entity
Organization
Contact information
Practice address
3100 OAK PARK AVE, BERWYN, IL 60402-3291
(708) 788-1005
(708) 484-2059
Mailing address
3100 OAK PARK AVE, BERWYN, IL 60402-3291
(708) 788-1005
(708) 484-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-115515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090801388
—
IL
Enumeration date
12/11/2006
Last updated
10/14/2008
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