Dudak, Jennifer Ann

Dudak, Jennifer Ann is an individual health care provider with primary practice located at 908 N Elm St Suite 300, Hinsdale IL 60521-3625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dudak, Jennifer Ann can be contacted via phone (630) 455-1756.

Contact Information

Primary practice address
908 N Elm St Suite 300 Hinsdale IL 60521-3625
Phone: (630) 455-1756
Fax: (630) 455-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001954 Illinois

Profile Details

NPI number 1588764062
LBN Legal business name Dudak, Jennifer Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Dec 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588764062 NPPES
Illinois Other 085001954 LICENSE
Illinois Other 1056683 LICENSE
Illinois Other 050540914 LICENSE
Illinois Other P00382533/CK6882 LICENSE

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