Active NPI
Abigail Irene Dudek
- Behavior Analyst
- Gurnee, IL
National Provider Identifier
1093332942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-78681
- Practice address
- 25 Tower CT Ste a
Gurnee, IL 60031-3318 - Phone
- (847) 873-8444
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-78681 | IL | Primary |
Addresses
Primary practice location
25 Tower CT Ste a
Gurnee, IL 60031-3318
Mailing address
25 Tower CT Ste a
Gurnee, IL 60031-3318
Phone (847) 873-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736035200000",
"number": "1093332942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TOWER CT STE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313318",
"telephone_number": "847-873-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TOWER CT STE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313318",
"telephone_number": "847-873-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDEK",
"first_name": "ABIGAIL",
"middle_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-24-78681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.