Hudson Medical Center LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-115515 Issued in IL

Legal business name

HUDSON MEDICAL CENTER LTD

Practice address

3100 Oak Park Ave
Berwyn, IL 60402-3291

Phone

(708) 788-1005

Fax

(708) 484-2059

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elina Hudson, MD

Title

President

Phone

(708) 788-1005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1730249673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023291",
            "telephone_number": "708-788-1005",
            "fax_number": "708-484-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023291",
            "telephone_number": "708-788-1005",
            "fax_number": "708-484-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-115515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090801388",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latanya Hoskins
• Ann Hostetter, LCSW
• Mark Hroncich, MD
• Matthew Hsieh, M.D.
• Jessica Hubl, CRNA
• Elina Hudson, MD
• Isaac Devon Hudson Sr.
• Yvette Hudson
• Abbie Huff
• Hugh Marchmont-Robinson DDS SC

• Family Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.