Lee Anthony Dudley (NPI# 1215960026, PAC ID# 2365335288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1215960026 |
| PAC ID by PECOS | 2365335288 |
| Professional Enrollment ID | I20120523000530 |
| Full Name | Lee Anthony Dudley |
| Organization Legal Name | IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC |
| Address |
1401 E State St Rockford IL 61104-2315 |
| Phone Number | 8159684400 |
| Gender | M |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7911890678 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1401 E State St, Rockford, IL 61104-2315 | 8159684400 | IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Colla | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Timothy A Deming | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Jessica L Oslund | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Christina Powell | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Halleh Akbarnia | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Armando Marquez Jr. | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Heather M Prendergast | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Courtnea D Malugen | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Amanda C Miller | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Edward Bradshaw Bunney | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Street Address |
1401 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip | 61104-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Colla | Emergency Medicine | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Amir K Sepahdari | Diagnostic Radiology | Radiology Consultants of Rockford Ltd | 1401 E State St, Rockford, IL 61104-2315 |
| Timothy A Deming | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Kaneez Fatima Ali | Obstetrics/gynecology | Swedishamerican Hospital | 1401 E State St, Rockford, IL 61104-2315 |
| Jonathan Ryan Winthers | Hospitalist | Hospitalist Medicine Physicians of Illinois - Rockford, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Jessica L Oslund | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Bhanu P Sankineni | Hospitalist | Hospitalist Medicine Physicians of Illinois - Rockford, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Nathaniel J Schwartz | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Christina Powell | Nurse Practitioner | Ihc-swedishamerican Emergency Physicians, LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Lee C Sesslar | Obstetrics/gynecology | Swedishamerican Hospital | 1401 E State St, Rockford, IL 61104-2315 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos J Aguero Medina | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Laken J Sisson | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Susan C Winterbauer | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Andrea Zajac | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Leslie A Dean | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Jessika Epperson | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Cora Marie Reynolds | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| William Sandoval | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Daramis R Toribio | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Ashley N Rahn | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Find all physicians in zip 61104 | |||
| City | ROCKFORD |
| Zip Code | 61104 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ROCKFORD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Lee Anthony Dudley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.