Individual
BRIAN DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
11937 CALLE TRUCKSESS, EL CAJON, CA 92019-4007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95155716
CA
207L00000X
Anesthesiology Physician
Primary
125.084591
IL
Other
Enumeration date
06/02/2020
Last updated
09/02/2024
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