Individual
DREW LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 989-3833
(773) 878-3753
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036150777
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036150777
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A13096
CA
2086S0102X
Surgical Critical Care Physician
P1098
TX
390200000X
Student in an Organized Health Care Education/Training Program
125049218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125049218
125049218
IL
01
—
1730379355
BLUE CROSS BLUE SHIELD
TX
05
—
287720101
—
TX
05
—
287720102
—
TX
01
—
8DY950
BLUE CROSS BLUE SHIELD
TX
01
—
P01030494
RR MEDICARE
TX
Enumeration date
07/30/2007
Last updated
10/30/2020
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