Dr. Philip S Dudak is a Saint Louis, Missouri based male chiropractor with 12 years of experience in General Chiropractor. He completed his graduation from Other in 2012. He is also affiliated with hospitals like Christian Hospital Northeast. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Philip S Dudak is 209010226 in Illinois. Dr. Philip S Dudak is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Philip S Dudak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC, FNP-C
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2012
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
11133 Dunn Rd, Saint Louis, Missouri, 63136-6163
Phone:
314-653-5228
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7911946421
Enrollment ID:
I20130620000254
NPI Number:
1720067051
NPI Enumeration Date:
13 Jan, 2006
NPI Last Update On:
29 Jul, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Philip S Dudak are as mentioned below.
License Number
Specialization
State
Status
209010226
Illinois
Primary
005778
General Chiropractor
Missouri
Secondary
2013003629
Nurse Practitioner
Missouri
Secondary
038006559
General Chiropractor
Illinois
Secondary
209010226
Nurse Practitioner
Illinois
Secondary
2013003629
Nurse Practitioner
Missouri
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Christian Hospital Northeast (260180)
Saint louis, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Philip S Dudak is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fairview Heights Medical Group Sc (6800784083)
279
Midwest Anesthesia Associates Pc (8921387390)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Philip S Dudak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
118828
Other
Illinois
BCBS
4400267
Other
UHC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11125 Dunn Rd Ste 100, Saint Louis, Missouri
Zip:
63136-6132
Phone Number:
314-653-5228
Fax Number:
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Patients can reach Dr. Philip S Dudak at 11133 Dunn Rd, Saint Louis, Missouri or can call to book an appointment on 314-653-5228. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.