Active NPI
Cezary D Dudzinski, M.D.
- Psychiatry Physician
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036129071
- Practice address
- 12255 S 80TH Ave
Palos Heights, IL 60463-1270 - Phone
- (708) 923-7878
- Fax
- (708) 923-7888
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036129071 | IL | |
| Psychiatry Physician | 2084P0800X | 036129071 | IL | Primary |
Addresses
Primary practice location
12255 S 80TH Ave
Palos Heights, IL 60463-1270
Mailing address
12251 S 80TH Ave Ste 1630
Palos Heights, IL 60463-1256
Phone (708) 923-5173
Other practice location 1
4600 3rd St
Moline, IL 61265-6106
Phone (309) 779-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036129071 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-5869
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
Hospital & facility affiliations
- Palos Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036129071 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Central Dupage Physician Group | Hospitalist | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
15300 West Ave
Orland Park, IL 60462
Phone (708) 226-2440
12255 S 80th Ave
Ste 202
Palos Heights, IL 60463
Phone (708) 923-7878
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
12251 S 80th Ave
Ste 1630
Palos Heights, IL 60463
Phone (708) 923-5173
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospitalist
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1487841540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE STE 1630",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631256",
"telephone_number": "708-923-5173",
"fax_number": "708-923-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631270",
"telephone_number": "708-923-7878",
"fax_number": "708-923-7888"
}
],
"practiceLocations": [
{
"address_1": "4600 3rd St",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612656106",
"country_code": "US",
"telephone_number": "309-779-2031",
"fax_number": "309-779-2027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDZINSKI",
"first_name": "CEZARY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036129071",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036129071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036129071",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.