Organization
PAWEL S. DUDEK, M.D., S.C.
Active
Organization
PAWEL S. DUDEK, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAWEL STANISLAW DUDEK M.D. (BOARD CERTIFIED PSYCHIATRIST)
(773) 909-6269
Entity
Organization
Contact information
Practice address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 404-0160
(773) 404-9876
Mailing address
4840 N MARINE DR, CHICAGO, IL 60640-7860
(773) 654-1645
(773) 681-0289
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036096327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635497
BLUE CROSS BLUE SHIELD
IL
05
—
036096327
—
IL
01
—
180759
COMPSYCH
IL
01
—
2017926
CIGNA
IL
01
—
401806
HARMONY
IL
01
—
404206
VALUE OPTIONS
IL
01
—
415428
MHN
IL
Enumeration date
05/23/2007
Last updated
06/24/2010
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