Individual
DANIEL A DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1830 JARVIS AVE, ELK GROVE VILLAGE, IL 60007-2440
(847) 364-9906
Mailing address
1374 NIGHTINGALE LN, BARTLETT, IL 60103-8971
(630) 855-3871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619980
BCBS OF IL
IL
Enumeration date
03/23/2007
Last updated
07/06/2020
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