Individual
TERESA DUDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
2622 N 77TH CT, ELMWOOD PARK, IL 60707-1801
(888) 265-9908
(888) 265-5564
Mailing address
PO BOX 543, RIVER GROVE, IL 60171-0543
(708) 452-6897
(708) 695-9166
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000576
IL
Other
Enumeration date
09/14/2018
Last updated
03/23/2020
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