Individual
FREDERICK PEARCE KUDLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC6038, CHICAGO, IL 60637-1443
(773) 702-1860
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125085264
IL
Other
Enumeration date
04/03/2024
Last updated
05/20/2025
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