Search › Illinois › 1223P0221X
Jerry Udelson, DDS
NPI 1013134154 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1125 Harlem Ave
Forest Park, IL 60130 - Phone
- (708) 386-5437
- Fax
- (708) 771-5439
- Organisation at this address
- Jerry E Udelson, Dds, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 323 N York St, Elmhurst, IL
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois