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Individual

DR. JACOB DUDZINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
8931 ASH LN, HICKORY HILLS, IL 60457-3205
(708) 263-8523

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2021024175
MO

Other

Enumeration date
06/24/2021
Last updated
06/01/2022
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