Individual provider Active NPI

Judy Marie Dudzinski I, RPH

  • Pharmacist
  • Elmhurst, IL
National Provider Identifier
1346966108
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-034363 Issued in IL
Practice address
110 W North Ave
Elmhurst, IL 60126-2736
Phone
(630) 617-2835
Fax
(630) 617-2083
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-034363 IL Primary

Addresses

Primary practice location

110 W North Ave
Elmhurst, IL 60126-2736

Mailing address

110 W North Ave
Elmhurst, IL 60126-2736
Phone (630) 617-2835

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051-034363ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1346966108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W NORTH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262736",
            "telephone_number": "630-617-2835",
            "fax_number": "630-617-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W NORTH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262736",
            "telephone_number": "630-617-2835",
            "fax_number": "630-617-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZINSKI",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "name_suffix": "I",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-034363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.