MEDICARE: EMILY DUDLEY AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist		IL

General Provider Information

NPI Number	:	1336797877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY DUDLEY AU.D.

Provider Business Mailing Address
First Line	:	3825 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2719
Country	:	US
Telephone Number	:	773-685-9202
Fax Number	:	773-685-5545

Provider Business Practice Location Address
First Line	:	3825 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2719
Country	:	US
Telephone Number	:	773-685-9202
Fax Number	:	773-685-5545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2019
Last Update Date	:	10/28/2025

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