Individual provider · Type 1 NPI
Debra Chudzik
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1366076630
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
14620 Westwood Dr
Orland Park, IL 60462-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209018977 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1366076630
Debra Chudzik's National Provider Identifier is 1366076630, issued on Feb 26, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Feb 26, 2020.