Individual
RENATA MARIA DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, OTR/L, OTD
Contact information
Practice address
2801 S LAWNDALE AVE, CHICAGO, IL 60623-4547
(773) 456-7551
Mailing address
5423 S OAK PARK AVE, CHICAGO, IL 60638-2305
(773) 396-3505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004278
IL
Other
Enumeration date
01/04/2016
Last updated
10/18/2023
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