Organization
KRISTINE C HUDZIK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE HUDZIK LCSW (MENTAL HEALTH PROVIDER)
(858) 945-5074
Entity
Organization
Contact information
Practice address
380 E SAINT CHARLES RD UNIT 741, LOMBARD, IL 60148-7831
(858) 945-5074
Mailing address
380 E SAINT CHARLES RD UNIT 741, LOMBARD, IL 60148-7831
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
149015920
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
149015920
IL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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