Individual
DR. NANCY BUDORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S. 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-6919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036071437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1727848
—
NY
01
—
9Y5641
EMP B/C B/S
NY
Enumeration date
06/15/2006
Last updated
02/05/2016
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