Individual
MARIAN GABRIEL TUDOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 GREEN BAY RD, DEPT. OF PSYCHIATRY, NORTH CHICAGO, IL 60064-3037
(847) 578-8719
Mailing address
3130 N LAKE SHORE DR, #1405, CHICAGO, IL 60657-4925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.053817
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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