Organization
ILLINOIS INSTITUTE FOR INTEGRATIVE MENTAL HEALTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDIN DZUDZA MD (PRESIDENT)
(312) 342-0312
Entity
Organization
Contact information
Practice address
4770 N LINCOLN AVE STE 7, CHICAGO, IL 60625-1056
(312) 342-0312
Mailing address
101 W SUPERIOR ST APT 504, CHICAGO, IL 60610-7655
(312) 342-0312
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036100514
IL
Other
Enumeration date
06/05/2007
Last updated
02/09/2023
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