Active NPI
Joseph Z. Pudlo, M.D. S.C.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-072100
- Legal business name
- JOSEPH Z. PUDLO, M.D. S.C.
- Practice address
- 6145 N. Milwaukee Ave
Chicago, IL 60646-3804 - Phone
- (773) 631-2442
- Fax
- (773) 631-6530
- NPI assigned
- May 4, 2012
- Last updated
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Zbigniew Pudlo, M.D.
- Title
- Physician/Owner
- Phone
- (773) 631-2442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-072100 | IL | Primary |
Addresses
Primary practice location
6145 N. Milwaukee Ave
Chicago, IL 60646-3804
Mailing address
6145 N. Milwaukee Ave
Chicago, IL 60646-3804
Phone (773) 631-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Joseph Z Pudlo MD SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1659631273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Chicago, IL
- NPI 1770570368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1316206733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 N. MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463804",
"telephone_number": "773-631-2442",
"fax_number": "773-631-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 N. MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463804",
"telephone_number": "773-631-2442",
"fax_number": "773-631-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH Z. PUDLO, M.D. S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "PUDLO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ZBIGNIEW",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "773-631-2442",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-072100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.