Eldin Dzudza, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036100514 Issued in IL

Practice address

4770 N. Lincoln Ave
Suite 7
Chicago, IL 60625-1056

Phone

(708) 756-0100

Fax

(708) 709-6353

NPI assigned

May 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1932158359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N. LINCOLN AVE",
            "address_2": "SUITE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251056",
            "telephone_number": "708-756-0100",
            "fax_number": "708-709-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N. LINCOLN AVE",
            "address_2": "SUITE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251056",
            "telephone_number": "708-756-0100",
            "fax_number": "708-709-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUDZA",
        "first_name": "ELDIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036100514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100514",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.