Active NPI
Joanna Dudek, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070027927
- Practice address
- 1611 W Harrison St Ste 107
Chicago, IL 60612-4861 - Phone
- (877) 632-6637
- Fax
- (708) 409-5179
- NPI assigned
- Apr 11, 2019
- Last updated
- Jan 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070027927 | IL | Primary |
| Physical Therapist | 225100000X | 05013051A | IN |
Addresses
Primary practice location
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Mailing address
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone (877) 632-6637
Other practice location 1
9200 Calumet Ave Ste 300
Munster, IN 46321-2885
Phone (877) 632-6637
Other names 1
- Joanna Skowronska
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone (877) 632-6637
9200 Calumet Ave
Suite 100
Munster, IN 46321-2885
Phone (877) 632-6637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070027927 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Munster Orthopaedic Institute, LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Physical Therapist | Current | Accepting new patients |
| Munster Orthopaedic Institute, LLC | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513
9132 Columbia Ave
Munster, IN 46321
Phone (219) 677-4940
9136 Columbia Ave
Munster, IN 46321
Phone (219) 836-0000
9200 Calumet Ave
Ste 100
Munster, IN 46321
Phone (219) 595-0789
9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
195 E US Highway 30
Schererville, IN 46375
Phone 2198362225307
Interoperability endpoints
- joanna.dudek.1@12576.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Munster, IN
- NPI 1730389305
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
-
- Durable Medical Equipment & Medical Supplies
- Munster, IN
- NPI 1477890879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1902369325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
}
],
"practiceLocations": [
{
"address_1": "9200 Calumet Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212885",
"country_code": "US",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDEK",
"first_name": "JOANNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070027927",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013051A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "SKOWRONSKA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.