Ondrej Chudoba, M.D., S.C.
Psychiatry & Neurology, Psychiatry in Huntley, IL. Organization (NPI-2).
NPI number1154498533
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154498533
- Entity type
- Organization (NPI-2)
- Legal business name
- Ondrej Chudoba, M.D., S.C.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036081492 | IL | Yes |
Practice location
11317 Smith Dr11924 Oak Creek Parkway
Huntley, IL 60142-9602
Phone 847-515-8131 · Fax 847-515-8142
Mailing address
11317 Smith Dr11924 Oak Creek Parkway
Huntley, IL 60142-9602
Phone 847-515-8131 · Fax 847-515-8142
Authorized official
Ondrej Chudoba
President
6304153087
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