Richard John Zaloudek, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.053727 Issued in IL

Practice address

1236 N Maple Ave
Apt. 1
La Grange Park, IL 60526-1430

Phone

(708) 597-9084

Fax

(708) 579-9345

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1710121512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N MAPLE AVE",
            "address_2": "APT. 1",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261430",
            "telephone_number": "708-597-9084",
            "fax_number": "708-579-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N MAPLE AVE",
            "address_2": "APT. 1",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261430",
            "telephone_number": "708-597-9084",
            "fax_number": "708-579-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALOUDEK",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.053727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.