Individual
PAWEL S DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 404-0160
(773) 404-9876
Mailing address
4840 N MARINE DR, CHICAGO, IL 60640-7860
(773) 654-1645
(773) 681-9876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036096327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635497
BLUE CROSS BLUE SHIELD IL
IL
05
—
036096327
—
IL
01
—
180759
COMPSYCH
IL
01
—
2017926
CIGNA
IL
01
—
401806
HARMONY
IL
01
—
404206
VALUE OPTIONS
IL
01
—
415428
MHN
IL
Enumeration date
04/01/2006
Last updated
06/24/2010
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