Individual
DR. ANDRIUS KUDIRKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 WEST AVENUE, SUITE 221 S., ORLAND PARK, IL 60462
(708) 590-5300
(708) 590-5310
Mailing address
12251 S 80TH AVE, SUITE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 590-5300
(708) 590-5310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110338
—
IL
01
—
IL332310
MEDICARE PTAN
IL
Enumeration date
05/24/2006
Last updated
02/02/2022
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