Individual
ONDREJ CHUDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11317 SMITH DR, SUITE A, HUNTLEY, IL 60142-9602
(630) 415-3087
(708) 488-1050
Mailing address
11317 SMITH DR, SUITE A, HUNTLEY, IL 60142-9602
(630) 415-3087
(708) 488-1050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036081492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081492
—
IL
01
—
162496
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/13/2006
Last updated
07/08/2007
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