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General NPI Number Information
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NPI Number | 1891133104
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Entity Type | Organization
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Legal Business Name | ANNE MARIE KUDELKA, MD, FACC, CENTER FOR HEART HEALTH, LLC
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Dates
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Enumeration Date | 06/08/2013
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 233 EAST ERIE SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-846-6641
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Fax | 312-374-1123
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Provider Business Mailing Address
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Address Line | 233 EAST ERIE SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-846-6641
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Fax | 312-374-1123
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | DR. ANNE MARIE KUDELKA
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Credential | MD, FACC
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Telephone | 312-787-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 036087780
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License Number State | IL
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