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Joshua Mark Dudek, OD
Student in an Organized Health Care Education/Training Program in Pontiac, Illinois
NPI 1508627449

Joshua Mark Dudek is a Student in an Organized Health Care Education/Training Program based in Pontiac, IL. Joshua Mark Dudek practices in Pontiac, IL and has the professional credentials of OD. The NPI Number for Joshua Mark Dudek is 1508627449 and holds a License No. (Illinois).

The current practice location address for Joshua Mark Dudek is 320 N Ladd St, Pontiac, IL and can be reached out via phone at 618-927-6337.

Location: 320 N Ladd St, Pontiac, IL, 61764-1612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508627449
Provider Name
Joshua Mark Dudek
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
320 N Ladd St, Pontiac, IL, 61764-1612
Phone Number
618-927-6337
Fax Number
Provider Enumeration Date
01/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
320 N Ladd St
City
Pontiac
State
Illinois
Zip
61764-1612
Phone Number
618-927-6337
Fax Number
person
Provider Business Mailing Address Details
Address
320 N Ladd St
City
Pontiac
State
Illinois
Zip
61764-1612
Phone Number
618-927-6337
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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