Individual
KARLA G HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-01251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904960
—
NC
05
—
N0125D
—
SC
Enumeration date
09/25/2006
Last updated
05/06/2013
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