Organization
TERESA DUDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DUDIC (OWNER)
(312) 618-1176
Entity
Organization
Contact information
Practice address
2622 N 77TH CT, ELMWOOD PARK, IL 60707-1801
(312) 618-1176
(888) 265-5564
Mailing address
PO BOX 543, RIVER GROVE, IL 60171-0543
(312) 618-1176
(708) 695-9166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
03/23/2020
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