Individual
TODD ANTHONY DODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., ANESTHESIOLOGY, EVANSTON, IL 60201
(847) 570-2000
Mailing address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036146004
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036146004
IL
Other
Enumeration date
06/22/2012
Last updated
09/01/2022
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