Doctor Name: | CHRISTINE DUDIAK |
NPI Number: | 1033196910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36068233 |
Business Practice Address: | 2160 S 1st Ave Mcgaw Ent., Rm. 47 Maywood, IL - 60153 |
Business Phone Number: | 7082165221 |
Business Fax Number: | 7082160899 |
Mailing Address: | 2160 S 1st Ave, Mcgaw Ent., Rm. 47 MAYWOOD |
State: | IL |
Postal Code: | 60153 |
Phone Number: | 7082165221 |
Fax Number: | 7082160899 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 36068233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |