Kristine C Hudzik

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

149015920 Issued in IL

Legal business name

KRISTINE C HUDZIK

Practice address

380 E Saint Charles Rd Unit 741
Lombard, IL 60148-7831

Phone

(858) 945-5074

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Hudzik, LCSW

Title

Mental Health Provider

Phone

(858) 945-5074

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1225457500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E SAINT CHARLES RD UNIT 741",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E SAINT CHARLES RD UNIT 741",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487831",
            "telephone_number": "858-945-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE C HUDZIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HUDZIK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "858-945-5074",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149015920",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "149015920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole S Kott, D.D.S
• Amanda Kozlowski, LCSW, CADC
• Teresa Kozuch
• Michael Kreuzer, BA
• Jennifer Krichbaum
• Chanadda Krueger
• Kevin Gregory Krug, DDS
• Tracy Y Krupka, COTA/L
• Laura Jean Krystal, L.C.P.C.
• Monika Krystopa

• Adolescent and Children Mental Health Clinic/Center in Lombard, IL
• Providers in Lombard, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.