Individual ProviderChristine DudiakRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153(708) 216-5221PECOS EnrollmentBased on the most recent information from CMS, provider Christine Dudiak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1033196910Provider TypeIndividualFull NameDudiak, ChristineCredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/30/2005Last Updated9/2/2009Contact InformationPractice LocationPractice Address2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Mailing LocationMailing Address2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36068233IllinoisProvider IdentifiersIDDescriptionIssuerID36068233DescriptionMedicaidIssuerUnlistedIllinois