Joseph Zbigniew Pudlo, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036072100 Issued in IL

Practice address

6145 N Milwaukee Ave
Chicago, IL 60646-3804

Phone

(773) 631-2442

Fax

(773) 631-6530

NPI assigned

Sep 29, 2005

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community First Medical Center Hospital, Chicago, IL, CCN 140251
• Norridge Gardens Nursing home, Norridge, IL, CCN 145329
• Elevate Care Regency Nursing home, Niles, IL, CCN 145237
• Norwood Crossing Nursing home, Chicago, IL, CCN 145974
• Community First Medical Center Nursing home, Chicago, IL, CCN 145548

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Joseph Z. Pudlo, M.D. S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1316206733
  Medicare reassignment NPD Authorized official
• Joseph Z. Pudlo, M.D., S.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1659631273
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community First Healthcare of Illinois, Inc

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033214416
  Care Compare affiliation
• Community First Healthcare of Illinois, Inc

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1942305321

  Nursing home

  Care Compare affiliation
• Generations at Regency, LLC

  • Skilled Nursing Facility
  • Niles, IL
  • NPI 1508858994

  Nursing home

  Care Compare affiliation
• Norridge Gardens,LLC

  • Skilled Nursing Facility
  • Norridge, IL
  • NPI 1679913685

  Nursing home

  Care Compare affiliation
• Norwood Crossing Association

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1477540417

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770570368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463804",
            "telephone_number": "773-631-2442",
            "fax_number": "773-631-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463804",
            "telephone_number": "773-631-2442",
            "fax_number": "773-631-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDLO",
        "first_name": "JOSEPH",
        "middle_name": "ZBIGNIEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036072100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Todd Puckett, LCPC
• Ryan Puckett
• Samuel Puckett, MSW
• Sylvia Pudelko
• Alex Pudlik
• Emily Puebla
• Ami L Puente, COTA
• Puentes Bilingual Speech and Language Therapy LLC
• Mariana Beatriz Puentes, LCSW
• John William Pueringer, DO, MHA, MS

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.