Daniel A Dudek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013677 Issued in IL

Practice address

1830 Jarvis Ave
Elk Grove Village, IL 60007-2440

Phone

(847) 364-9906

NPI assigned

Mar 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1912024902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 NIGHTINGALE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038971",
            "telephone_number": "630-855-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 JARVIS AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072440",
            "telephone_number": "847-364-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 W Higgins Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953203",
            "country_code": "US",
            "telephone_number": "847-285-4200",
            "fax_number": "847-885-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1619980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Joseph M Blair LTD
• Dr. Matthew D. Zawilenski MD SC
• Gregory Drake, D.O.
• Tina Francine Drake, FNP
• Vivek Dubba
• Edyta Teresa Dudek
• Guy M Dugan, MD
• Kathleen E. Dumford, MD
• Rachel Dunning
• Melissa Duque, B.A., RBT

• Physical Therapist in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.