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Contact Information

LEE A DUDLEY, DO
5113 S HARPER AVE STE 2C
CHICAGO, IL60615
 Phone: 773-983-1635
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LEE A DUDLEY · (Male)

NPI # 1215960026
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/08/2006
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # DO.1490
  • DC License # DO034849
  • GA License # 057958
  • HI License # DOS-1111
  • IL License # 036.129640
  • IL License # 336.091115
  • MD License # H0064685
  • MO License # 2010025333
  • NC License # 2012-02286
  • OH License # 34008088
  • TN License # DO0000001892
  • TX License # Q5791
Hospital affiliation(s)
  • COPLEY MEMORIAL HOSPITAL - (Acute Care)
    2000 OGDEN AVENUE
    AURORA, IL 60504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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