Renata Maria Dudek, COTA/L, OTR/L, OTD

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004278 Issued in IL

Practice address

2801 S Lawndale Ave
Chicago, IL 60623-4547

Phone

(773) 456-7551

NPI assigned

Jan 4, 2016

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

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.

• Integrated Therapy Network Inc

  • Occupational Therapist
  • Chicago, IL
  • NPI 1346088119
  NPD Authorized official
• Alegria Habilitation

  • Occupational Therapist
  • Chicago, IL
  • NPI 1083912026
  NPD (past)
• Lcy Transition Therapy Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1285771618
  NPD (past)

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1386000560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 S OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382305",
            "telephone_number": "773-396-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234547",
            "telephone_number": "773-456-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "RENATA",
        "middle_name": "MARIA",
        "credential": "COTA/L, OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janusz Dudek, MD
• Joanna Dudek, DPT
• Marta A Dudek, M.D.
• Mary Dudek, P.A.
• Pawel S Dudek, M.D.
• Walter John Dudek Jr., DDS
• Rosaria Marie Dudgeon, OT
• Brian Dudley, RN
• Emily Dudley, AU.D.
• Hannah Dudley, OTR

• Occupational Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.