Debra Chudzik

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209018977 Issued in IL

Practice address

5841 S Maryland Ave
Chicago, IL 60637-1443

Phone

(312) 307-9837

NPI assigned

Feb 26, 2020

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

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1366076630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 WESTWOOD DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621970",
            "telephone_number": "312-307-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "312-307-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDZIK",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209018977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Chuang, M.D.
• Hsin I Chuang, MD
• Marc Shi-Jey Chuang, M.D.
• Kenneth Chubinsky, LCSW
• Abby Chucka
• Sophie Chudzynski, CMA
• Ashwin Chugh, LCSW
• Asima Chughtai
• Kwong-Wing Chui, PHARM.D.
• Dagni Coromoto Chuki Naguanagua, MD

• All providers in Chicago, IL
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.