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Dr. Jerry Udelson

Pediatric Dentist

1125 Harlem Ave
Forest Park , Illinois 60130-2337

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Image

Dr. Jerry Udelson

Pediatric Dentist

1125 Harlem Ave
Forest Park , Illinois 60130-2337

(708) 771-5439

Write a Review Save Call

Dr. Jerry Udelson

Pediatric Dentist

1125 Harlem Ave
Forest Park , Illinois 60130-2337

(708) 771-5439 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

1125 Harlem Ave Forest Park , Illinois 60130-2337

First Address

  • Dr. Jerry Udelson
  • 1129 Harlem Ave
  • Forest Park, IL
  • Zip : 60130-2381
  • Fax : (708) 771-5439
  • Phone : (708) 386-5437

Second Address

  • Dr. Jerry Udelson
  • 1125 Harlem Ave
  • Forest Park, IL
  • Zip : 60130-2337
  • Fax : (708) 771-5439
  • Phone : (708) 386-5437

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FAQs


Where did Dr. Jerry Udelson attend graduate school?

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Where did Dr. Jerry Udelson do his residency?

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Where did Dr. Jerry Udelson do his fellowship?

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Is Dr. Jerry Udelson board certified?

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What type of doctor is Dr. Jerry Udelson

Pediatric Dentist

In what state does Dr. Jerry Udelson practice in?

Illinois

Where is Dr. Jerry Udelson ’s practice located?

1125 Harlem Ave , Forest Park, Illinois, 60130-2337

What is Dr. Jerry Udelson ’s gender?

Male

Is Dr. Jerry Udelson a sole practitioner?

No

Is Dr. Jerry Udelson accepting new patients?

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What languages does Dr. Jerry Udelson speak?

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Does Dr. Jerry Udelson accept insurance?

Yes, Dr. Jerry Udelson accepts insurance

Does Dr. Jerry Udelson offers telemedicine?

Dr. Jerry Udelson has not indicated if he offers telemedicine

What is Dr. Jerry Udelson ’s professional license number?

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What is Dr. Jerry Udelson ’s NPI number?

1013134154

Does Dr. Jerry Udelson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 021-001495 IL

National Provider Identifier

NPI 1013134154
Provider Name Dr. Jerry Udelson
First Address Forest Park, IL 60130-2381
Second Address Forest Park, IL 60130-2337
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/04/2007
Last Update Date 07/08/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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