Individual
ANGELA DUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1975 LIN LOR LN, PLAZA SUITE, ELGIN, IL 60123-4902
(847) 468-6098
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004619
STATE LICENSE
IL
Enumeration date
09/23/2011
Last updated
02/06/2013
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