Gannon Dudlar M.D.

NPI 1003865775 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003865775
Gender Male
Enumeration Date 05/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1740 W TAYLOR ST
DEPT 3466
CHICAGO IL, 60612-7232, US
Phone (312) 704-2885
Fax (312) 704-2737
Business Location
243 W SCOTT ST APT 2
CHICAGO IL, 60610-1865, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Dr. Gannon Dudlar M.D. NPI is 1003865775, taxonomy code is 207P00000X Gannon Dudlar M.D. physically located at 1740 W Taylor St, Chicago IL, 60612-7232. NPI Number Gannon Dudlar M.D. has the Individual type.

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1003865775 NPI number is provided on an as is basis without warranty of any kind. 1003865775 is maintained by the National Plan & Provider Enumeration System. The contents of Gannon Dudlar M.D. are for informational purposes only.