Dr. Jacob Dudzinski, MD
Dermatology in Chicago, IL. Individual provider (NPI-1).
NPI number1033788872
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1033788872
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Dudzinski
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 2021024175 | MO | Yes |
Practice location
1969 W Ogden AveChicago, IL 60612-3765
Phone 312-864-6000
Mailing address
8931 Ash LnHickory Hills, IL 60457-3205
Phone 708-263-8523
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