Jennifer A Dudak (NPI# 1588764062, PAC ID# 7618072109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588764062 |
| PAC ID by PECOS | 7618072109 |
| Professional Enrollment ID | I20130626000090 |
| Full Name | Jennifer A Dudak |
| Organization Legal Name | PINNACLE DERMATOLOGY SC |
| Address |
275 Joliet St Suite 225 Dyer IN 46311-1789 |
| Phone Number | 2198658800 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628353380 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 275 Joliet St, Suite 225, Dyer, IN 46311-1789 | 2198658800 | PINNACLE DERMATOLOGY SC |
| 3501 Enterprise Ave, Valparaiso, IN 46383-6953 | 8157448554 | PINNACLE DERMATOLOGY SC |
| Organization Legal Name | PINNACLE DERMATOLOGY SC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Ray Blickenstaff | Dermatology | Pinnacle Dermatology Sc | 7123 W Archer Ave, Chicago, IL 60638-2203 |
| Vincent Ross Smith | Nurse Practitioner | Pinnacle Dermatology Sc | 3501 Enterprise Ave, Valparaiso, IN 46383-6953 |
| Emily Michelle Beck | Dermatology | Pinnacle Dermatology Sc | 20646 Abbey Woods Ct N, Suite 104, Frankfort, IL 60423-3170 |
| Marianne Azneer | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Blake M Troiani | Dermatology | Pinnacle Dermatology Sc | 1124 Essington Rd, Suite A, Joliet, IL 60435-8423 |
| Bishr Ahmad Al Dabagh | Dermatology | Pinnacle Dermatology Sc | 5084 Villa Linde Pkwy, Suite 5, Flint, MI 48532-3422 |
| Ishani P Patel | Physician Assistant | Pinnacle Dermatology Sc | 2500 S Highland Ave, Suite 320, Lombard, IL 60148-5390 |
| Tehming Liang | Dermatology | Pinnacle Dermatology Sc | 580 E Boughton Rd, Suite A, Bolingbrook, IL 60440-2565 |
| Loris A Tisocco | Dermatology | Pinnacle Dermatology Sc | 275 Joliet St, Suite 225, Dyer, IN 46311-1789 |
| Michael Jude Welsch | Dermatology | Pinnacle Dermatology Sc | 1828 Bay Scott Cir, Naperville, IL 60540-1110 |
| Street Address |
275 JOLIET ST SUITE 225 |
| City | DYER |
| State | IN |
| Zip | 46311-1789 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loris A Tisocco | Dermatology | Pinnacle Dermatology Sc | 275 Joliet St, Suite 225, Dyer, IN 46311-1789 |
| Christine Kay Sickles | Dermatology | Pinnacle Dermatology Sc | 275 Joliet St, Suite 225, Dyer, IN 46311-1789 |
| Lauren A Howe | Physician Assistant | Pinnacle Dermatology Sc | 275 Joliet St, Suite 225, Dyer, IN 46311-1789 |
| Raymond Joseph Romanus | General Surgery | Integrated Dermatology of Calumet City, LLC | 275 Joliet St, Dyer, IN 46311-1789 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rushyt Patel | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kristina M Derolf | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Timothy Dykstra | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Carlo Balmaseda | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Dora R Green | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jamie Bridgwater | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kelly J Williams | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Mary Ann A Dow | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Brian D Harris | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jennifer M Truesdale | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Find all physicians in zip 46311 | |||
| City | DYER |
| Zip Code | 46311 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DYER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer A Dudak.
| 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.