Kathryn Liber Dudun, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209028258 Issued in IL

Practice address

1516 N Bosworth Ave Apt 3
Chicago, IL 60642-2488

Phone

(630) 303-4042

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midway Pediatrics LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1215373022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1114770948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 N BOSWORTH AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 N BOSWORTH AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422488",
            "telephone_number": "630-303-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDUN",
        "first_name": "KATHRYN",
        "middle_name": "LIBER",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209028258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Anthony Dudley, DO
• Shauntell Dudley, ED.S
• Tara Elizabeth Dudley, ATC
• Megan Marie Dudney, PA-C
• Anastasiya Dudnyk
• Jacob Dudzinski, MD
• Richard J Due, PA-C
• Hannah Duehren, MD
• Karen M Duenas Ruiz, MD
• Laura Duening, LCSW, CADC

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.